Diagnosis of Tailgut Cyst in Gynecologic Patients: Systematic Review of the Literature

2017 ◽  
Vol 9 (3) ◽  
pp. 168-173
Author(s):  
Polina Schwarzman ◽  
Salvatore Andrea Mastrolia ◽  
Yael Sciaky-Tamir ◽  
Joel Baron ◽  
Boaz Sheizaf ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
English Literature ◽  
Diagnostic Procedures ◽  
Tailgut Cyst ◽  
Retrorectal Space ◽  
Imaging Technology ◽  
Female Patients ◽  
Retrorectal Cystic Hamartoma ◽  
Pelvic Lesions ◽  
Gynecologic Patients

Tailgut cysts, also called retrorectal cystic hamartomas, are rare findings that usually occur in the retrorectal space. The incidence is estimated to be about 1 in 40,000. The aim of our review is to evaluate the potential pitfalls in the diagnosis of this rare pathologic condition, according to diagnostic procedures for this rare but misleading and subtle entity. We conducted a Medline literature review of the English literature discussing tailgut cysts in female patients. We concentrated on imaging technology used for diagnosis in gynecologic patients. For our search, we used the key words “tailgut cyst”, “retrorectal cystic hamartoma”, “gynecology”, focusing on clinical presentation, imaging technology used for diagnosis, presence of malignancy, and misdiagnosis with more common gynecologic pathology. Our search revealed 143 articles during the years 1975–2016 and, of these, 30 articles describing 91 female patients were considered. We concluded that tailgut cyst should be included in the differential diagnosis of pelvic lesions in gynecologic patients.

scholarly journals Laparoscopic Resection of a Huge Retrorectal Tumor

2020 ◽  
Vol 36 (1) ◽  
pp. 54-57
Author(s):  
Han Deok Kwak ◽  
Jae Kyun Ju
Keyword(s):  
Laparoscopic Resection ◽  
Rectal Wall ◽  
Recovery Period ◽  
Tailgut Cyst ◽  
Early Recovery ◽  
Retrorectal Tumor ◽  
Palpable Mass ◽  
Retrorectal Space ◽  
Retrorectal Cystic Hamartoma ◽  
The Right

Retrorectal space tumors are rare, and so are frequently unrecognized, misdiagnosed, and mistreated. A 57-year-old man visited the outpatient clinic with the chief complaints of thin stool and lower pelvic heaviness. A smooth, round huge palpable mass on the right posterolateral rectal wall was detected and pelvic computed tomography showed a 7.8-cm cystic lesion in the right retrorectal space. Laparoscopic procedures were initiated with perirectal dissection for rectal mobilization. After fixation of the peritoneum and tying the rectum for intracorporeal traction, the rectum was mobilized to identify the cyst. The cyst was removed using an endo-bag, with completion of cyst dissection. The final pathologic diagnosis was a tailgut cyst, or retrorectal cystic hamartoma without evidence of malignancy. The patient was discharged without any complications. The patient had no dyschezia or problems with bowel function. Laparoscopic resection is a safe and feasible method for surgical treatment, even for bulky retrorectal tumors, with an early recovery period.

scholarly journals Ganglioneuroma with leiomyomatosis of the urinary bladder: A rare tumor causing frequent micturition and dysuria

2014 ◽  
Vol 8 (1-2) ◽  
pp. 44 ◽  
Author(s):  
Wang Qi ◽  
Min Jie ◽  
Zhang Tao ◽  
Xie Dongdong ◽  
Wang Yi ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Computerized Tomography ◽  
Clinical Presentation ◽  
English Literature ◽  
Surgical Excision ◽  
Diagnostic Procedures ◽  
Histopathologic Examination ◽  
Rare Tumor ◽  
Pathologic Features ◽  
Frequent Micturition

We present the case of a 34-year-old female, complaining of frequent micturition and progressive dysuria. By cystoscopy and computerized tomography, we found that she had multiple submucosal protuberant lesions in the entire bladder. After surgical excision, she has thus far showed no further signs of the disease. The postoperative histopathologic examination revealed a ganglioneuroma and leiomyomatosis. Urinary bladder paraganglioma is an unusual tumour; when it is combined with leiomyomatosis, it is extremely rare. We describe the main clinical presentation, diagnostic procedures, and pathologic features. We also review the English literature.

Neuroendocrine Tumor Arising in a Tailgut Cyst: A Rare Presacral Tumor

2018 ◽  
Vol 27 (3) ◽  
pp. 336-342 ◽  
Author(s):  
Eiichiro Iwata ◽  
Zsolt Orosz ◽  
James Teh ◽  
Jeremy Reynolds ◽  
Duncan Whitwell ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Neuroendocrine Tumor ◽  
Cystic Lesion ◽  
Presacral Space ◽  
Tailgut Cyst ◽  
Resonance Imaging ◽  
Retrorectal Space ◽  
Presacral Tumor ◽  
Retrorectal Cystic Hamartoma ◽  
The Right

A tailgut cyst (retrorectal cystic hamartoma) is an uncommon lesion that develops in the presacral (retrorectal) space. Malignant change in a tailgut cyst is extremely rare and presents as a soft tissue (presacral) or bone (sacral) neoplasm. We report a case of tailgut cyst in which a neuroendocrine tumor developed in a 25-year-old female. Computed tomography and magnetic resonance imaging scans revealed a sacrococcygeal malformation with absent left S4 and S5 and a partly cystic lesion within the right presacral space. Histologically, the lesion contained cystic and solid elements. The cysts were lined by columnar and stratified squamous epithelial cells with underlying patchy smooth muscle. The solid element was a partly necrotic neuroendocrine tumor composed mainly of ribbons of tumor cells, which showed mitotic activity and expressed cytokeratin, chromogranin, and synaptophysin. Histologically, tailgut cysts are lined by epithelium and contain scattered smooth muscle bundles in the cyst wall. Although rare, the possibility of tailgut cyst with neuroendocrine tumor should be included in the differential diagnosis of an enlarging presacral tumor.

scholarly journals Acute calcific periarthritis secondary to calcium hydroxyapatite crystal deposition in the wrist: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Joseph A Walker ◽  
Elizabeth R McLean ◽  
Raymond E Anakwe
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Calcium Hydroxyapatite ◽  
Wrist Pain ◽  
Crystal Deposition ◽  
Joint Aspiration ◽  
Hydroxyapatite Crystal ◽  
Inflammatory Drugs ◽  
Calcific Periarthritis

ABSTRACT Acute calcific periarthritis (ACP) is an unusual cause of monoarticular pain characterised by the deposition of calcium hydroxyapatite in the peri-articular and intra-articular tissues. Although the most commonly affected joint is the shoulder, other joints may be involved, including the wrist. This case report describes a 57-year-old female presenting with wrist pain and swelling associated with amorphous calcification overlying the lunate. The patient improved with the use of non-steroidal anti-inflammatory drugs and splinting. Clinician awareness of the clinical presentation and radiographic features of ACP is important to reduce unnecessary invasive diagnostic procedures such as joint aspiration.

Isolated intradural lumbosacral tailgut cyst with carcinoid features

2011 ◽  
Vol 14 (3) ◽  
pp. 382-387 ◽  
Author(s):  
Toba N. Niazi ◽  
Lubdha M. Shah ◽  
Steven S. Chin ◽  
Meic H. Schmidt
Keyword(s):  
Back Pain ◽  
Urinary Tract ◽  
Direct Contact ◽  
Mass Effect ◽  
Bowel Dysfunction ◽  
Tailgut Cyst ◽  
Embryological Development ◽  
Retrorectal Space ◽  
Tract Infections ◽  
Slow Growing

Tailgut cysts are developmental cysts that arise from remnants of the embryonic postanal gut and are typically located within the presacral, retrorectal space. Isolated cases of aberrant locations, including prerectal, perirenal, perianal, retrovesical, and subcutaneous locations, have been reported. Malignant transformations with the presence of adenocarcinomas or carcinoids have been recognized within these entities. It is well recognized that anterior sacrococcygeal abnormalities are present and are frequently caused by the slow-growing nature of the tailgut cysts and related mass effect; however, the authors are aware of no reports in the literature of isolated tailgut cysts within the thecal sac in direct contact with neural elements, without extension into the peritoneal cavity. In this case, a 28-year-old woman presented with progressive back pain, frequent urinary tract infections, and bowel dysfunction. She was found to have a purely intradural tailgut cyst with malignant transformation consistent with carcinoid. No peritoneal extension of her disease was found. The authors hypothesize that this is a rare developmental aberration that has not been commonly recognized and potentially has implications for embryological development.

Abnormal vaginal bleeding in women with venous thromboembolism treated with apixaban or warfarin

2017 ◽  
Vol 117 (04) ◽  
pp. 809-815 ◽  
Author(s):  
Suzanne Bleker ◽  
Barbara Hutten ◽  
Anne Timmermans ◽  
Harry Büller ◽  
Saskia Middeldorp ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Diagnostic Tests ◽  
Vaginal Bleeding ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Absolute Number ◽  
Bleeding Events ◽  
Warfarin Group ◽  
Bleeding Episodes ◽  
Abnormal Vaginal Bleeding

SummaryAbnormal vaginal bleeding can complicate direct oral anticoagulant (DOAC) treatment. We aimed to investigate the characteristics of abnormal vaginal bleeding in patients with venous thromboembolism (VTE) receiving apixaban or enoxaparin/warfarin. Data were derived from the AMPLIFY trial. We compared the incidence of abnormal vaginal bleeding between patients in both treatment arms and collected information on clinical presentation, diagnostic procedures, management and outcomes. In the AMPLIFY trial, 1122 women were treated with apixaban and 1106 received enoxaparin/warfarin. A clinically relevant non-major (CRNM) vaginal bleeding occurred in 28 (2.5 %) apixaban and 24 (2.1 %) enoxaparin/warfarin recipients (odds ratio [OR] 1.2, 95 % confidence interval [CI] 0.7–2.0). Of all CRNM bleeds, 28 of 62 (45 %) and 24 of 120 (20 %) were of vaginal origin in the apixaban and enoxaparin/warfarin group, respectively (OR 3.4; 95 % CI 1.8–6.7). Premenopausal vaginal bleeds on apixaban were characterised by more prolonged bleeding (OR 2.3; 95 %CI 0.5–11). In both pre- and postmenopausal vaginal bleeds, diagnostic tests were performed in six (21 %) and in seven (29 %) apixaban and enoxaparin/ warfarin treated patients, respectively. Medical treatment was deemed not necessary in 16 (57 %) apixaban and 16 (67 %) enoxaparin/warfarin recipients. The severity of clinical presentation and course of the bleeds was mild in 75 % of the cases in both groups. In conclusion, although the absolute number of vaginal bleeding events is comparable between apixaban and enoxaparin/warfarin recipients, the relative occurrence of vaginal bleeds is higher in apixaban-treated women. The characteristics and severity of bleeding episodes were comparable in both treatment arms.

scholarly journals Tailgut cyst: from differential diagnosis to surgical resection—case report and literature review

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Gustavo de Castro Gouveia ◽  
Letícia Yukari Okada ◽  
Beatriz Pires Paes ◽  
Thalita Millene Moura ◽  
Amarildo Henrique da Conceição Júnior ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Surgical Resection ◽  
Rare Case ◽  
Surgical Planning ◽  
Standard Treatment ◽  
Tailgut Cyst ◽  
Rare Tumor ◽  
Retrorectal Space ◽  
Cyst Excision ◽  
Pilonidal Cyst

Abstract Tailgut cyst is a rare tumor originating from the embryonic remnant located in the retrorectal space. The diagnosis is usually incidental duse to the absence of symptoms. When present, they are nonspecific, such as abdominal pain, dysuria and tenesmus. Imaging tests are a great help in the diagnosis and surgical planning. The standard treatment is resection, which the surgeon must perform to avoid future complications, such as malignancy. We present a case of tailgut cyst in a young patient with prior pilonidal cyst excision, subsequently submitted to surgical resection, to share our experience with a rare case, with few reports in the literature.

Transitional Cell Carcinoma of the Retrorectal Space Arisen in Tailgut Cyst

2013 ◽  
Vol 22 (3) ◽  
pp. 280-285 ◽  
Author(s):  
Gian Luca Rampioni Vinciguerra ◽  
Paolo Mercantini ◽  
Marco La Torre ◽  
Emanuela Pilozzi ◽  
Vincenzo Ziparo ◽  
...  
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transitional Cell ◽  
Tailgut Cyst ◽  
Retrorectal Space

scholarly journals Spontaneous Perforation of Pyometra

2006 ◽  
Vol 2006 ◽  
pp. 1-3 ◽  
Author(s):  
Begüm Yildizhan ◽  
Esra Uyar ◽  
Alper Şişmanoğlu ◽  
Gülfem Güllüoğlu ◽  
Zehra N. Kavak
Keyword(s):  
Genital Tract ◽  
English Literature ◽  
Rare Complication ◽  
Uterine Cavity ◽  
Benign Tumors ◽  
Spontaneous Perforation ◽  
Endometrial Polyps ◽  
Common Cause ◽  
Spontaneous Uterine Rupture ◽  
Gynecologic Patients

Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is0.01–0.5%in gynecologic patients; however, as far as elderly patients are concerned, its incidence is13.6%[3]. The most common cause of pyometra is malignant diseases of genital tract and the consequences of their treatment (radiotherapy). Other causes are benign tumors like leiomyoma, endometrial polyps, senile cervicitis, cervical occlusion after surgery, puerperal infections, and congenital cervical anomalies. Spontaneous rupture of the uterus is an extremely rare complication of pyometra. To our knowledge, only 21 cases of spontaneous perforation of pyometra have been reported in English literature since 1980. This paper reports an additional case of spontaneous uterine rupture.

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