Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report
<b>Background and Clinical Significance:</b> Retrorectal cystic hamartomas (“Tailgut cysts”) are rare developmental cysts that appear in the retrorectal space, arising from aberrant remnants of the post-anal primitive gut in case of an incomplete embryogenetic involution. <b>Case P...
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2025-01-01
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| author | Andrei Mihai Malutan Viorela-Elena Suciu Florin Laurentiu Ignat Doru Diculescu Razvan Ciortea Emil-Claudiu Boțan Carmen Elena Bucuri Maria Patricia Roman Ionel Nati Cristina Ormindean Dan Mihu |
| author_facet | Andrei Mihai Malutan Viorela-Elena Suciu Florin Laurentiu Ignat Doru Diculescu Razvan Ciortea Emil-Claudiu Boțan Carmen Elena Bucuri Maria Patricia Roman Ionel Nati Cristina Ormindean Dan Mihu |
| author_sort | Andrei Mihai Malutan |
| collection | DOAJ |
| description | <b>Background and Clinical Significance:</b> Retrorectal cystic hamartomas (“Tailgut cysts”) are rare developmental cysts that appear in the retrorectal space, arising from aberrant remnants of the post-anal primitive gut in case of an incomplete embryogenetic involution. <b>Case Presentation:</b> We present the case of a 30-year-old woman with a history of chronic lower abdominal pain. Other digestive symptoms, like rectal fullness, constipation, pain on defecation, rectal bleeding or genitourinary obstruction symptoms, were not associated. During a period of 3 years, she underwent several surgical procedures for ovarian cysts, without relieving the symptomatology. A computed tomography (CT) scan showed a presacral tumor with a right pararectal development. A surgical resection of the lesion using an anterior approach was performed, with the final pathological diagnosis of a retrorectal cystic hamartoma (“tailgut cyst”). <b>Conclusions:</b> This case underlines the fact that retrorectal masses can be challenging to diagnose, and tailgut cysts must be taken into consideration in cases of perirectal tumors in patients with a history of multiple failed procedures and surgeries. |
| format | Article |
| id | doaj-art-e489ef51ac6445d393a7e745db1a8ce0 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-e489ef51ac6445d393a7e745db1a8ce02025-01-10T13:16:45ZengMDPI AGDiagnostics2075-44182025-01-0115110810.3390/diagnostics15010108Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case ReportAndrei Mihai Malutan0Viorela-Elena Suciu1Florin Laurentiu Ignat2Doru Diculescu3Razvan Ciortea4Emil-Claudiu Boțan5Carmen Elena Bucuri6Maria Patricia Roman7Ionel Nati8Cristina Ormindean9Dan Mihu102nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania“Ion Chiricuta” Oncoloy Institute, 34-36 Republicii, 400015 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, RomaniaDepartment of Pathology, Emergency County Hospital, 3-5 Clinicilor, 400006 Cluj-Napoca, RomaniaClinical Department of Surgery, “Constantin Papilian” Emergency Clinical Military Hospital, 22 G-ral Traian Mosoiu, 400132 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania<b>Background and Clinical Significance:</b> Retrorectal cystic hamartomas (“Tailgut cysts”) are rare developmental cysts that appear in the retrorectal space, arising from aberrant remnants of the post-anal primitive gut in case of an incomplete embryogenetic involution. <b>Case Presentation:</b> We present the case of a 30-year-old woman with a history of chronic lower abdominal pain. Other digestive symptoms, like rectal fullness, constipation, pain on defecation, rectal bleeding or genitourinary obstruction symptoms, were not associated. During a period of 3 years, she underwent several surgical procedures for ovarian cysts, without relieving the symptomatology. A computed tomography (CT) scan showed a presacral tumor with a right pararectal development. A surgical resection of the lesion using an anterior approach was performed, with the final pathological diagnosis of a retrorectal cystic hamartoma (“tailgut cyst”). <b>Conclusions:</b> This case underlines the fact that retrorectal masses can be challenging to diagnose, and tailgut cysts must be taken into consideration in cases of perirectal tumors in patients with a history of multiple failed procedures and surgeries.https://www.mdpi.com/2075-4418/15/1/108tailgut cystretrorectal spaceretrorectal hamartomaschronic pelvic pain |
| spellingShingle | Andrei Mihai Malutan Viorela-Elena Suciu Florin Laurentiu Ignat Doru Diculescu Razvan Ciortea Emil-Claudiu Boțan Carmen Elena Bucuri Maria Patricia Roman Ionel Nati Cristina Ormindean Dan Mihu Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report Diagnostics tailgut cyst retrorectal space retrorectal hamartomas chronic pelvic pain |
| title | Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report |
| title_full | Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report |
| title_fullStr | Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report |
| title_full_unstemmed | Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report |
| title_short | Tailgut Cyst—Gynecologist’s Pitfall: Literature Review and Case Report |
| title_sort | tailgut cyst gynecologist s pitfall literature review and case report |
| topic | tailgut cyst retrorectal space retrorectal hamartomas chronic pelvic pain |
| url | https://www.mdpi.com/2075-4418/15/1/108 |
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