Retrorectal cystic lesion presenting as subcutaneous swelling: A Case Report

  • Tahir Bashir Dar SherI Kashmir Institute of Medical Sciences, Soura Srinagar, J&K
  • Muzamil Rashid Wagay Sher I Kashmir Institute Of Medical Sciences, Srinagar , J&K
  • Gowhar Aziz Bhat
  • Jan Mubashir Ahmad Wani
Keywords: Retrorectal, Epidermoid cyst, Cyst

Abstract

The retro rectal space, a potential area, manifests when a mass develops within it [1]. Derived from embryonic neuroectoderm, notochord, and hindgut, this region houses a diverse range of both benign and malignant lesions [2]. About two-thirds of presacral tumours are congenital, with over 60% being developmental cysts [3]. In adults, developmental cysts, including epidermoid cysts, dermoid cysts, enteric cysts, and neurenteric cysts, are the most prevalent retrorectal cystic lesions, particularly in middle-aged women [4]. Here, we present a rare case of a perianal subcutaneous swelling that, upon evaluation, revealed a dumbbell-shaped retrorectal cystic lesion, ultimately diagnosed as an epidermoid cyst.

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Author Biographies

Muzamil Rashid Wagay, Sher I Kashmir Institute Of Medical Sciences, Srinagar , J&K

Postgraduate Resident, Department of General and Minimal Invasive Surgery , Sher I Kashmir Institute Of Medical Sciences, Srinagar , J&K

Gowhar Aziz Bhat

Assistant Professor, Department of General and Minimal Invasive Surgery , Sher I Kashmir Institute Of Medical Sciences, Srinagar , J&K

Jan Mubashir Ahmad Wani

Postgraduate Resident, Department of General and Minimal Invasive Surgery , Sher I Kashmir Institute Of Medical Sciences, Srinagar , J&K

References

1): M.F. Kalady, K.A. Ludwig, Presacral developmental cysts, Semin. Colon Rectal Surg. 15 (1) (2004) 12–18.
2): H. Dahan, et al., Retrorectal developmental cysts in adults: clinical and radiologichistopathologic review, differential diagnosis, and treatment, RadioGraphics. 21 (3) (2001) 575–584.
3): Jao SW, Beart RW, Spencer RJ, Reiman HM, Ilstrup DM. Retrorectal tumors. Diseases of the colon & rectum. 1985 Sep 1;28(9):644-52
4): Gönül İI, Bağlan T, Pala İ, Menteş B. Tailgut cysts: diagnostic challenge for both pathologists and clinicians. Int J Colorect Dis. 2007 Oct 1;22(10):1283-5.
5): Baek SW, Kang HJ, Yoon JY, et al. Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults. J Korean Soc Coloproctol 2011; 27: 303-14.
6): Alvi MI, Mubarak F, Khandwala K, Barakzai MD, Memon A. A Rare Case of Presacral Epidermoid Cyst in an Adult Male: Emphasis on Diffusion Weighted Magnetic Resonance Sequences in Preoperative Imaging. Cureus. 2018;10(1): e2050
7): K.G. Hobson, V. Ghaemmaghami, J.P. Roe, J.E. Goodnight, V.P. Khatri, Tumors of the retrorectal space, Dis. Colon Rectum 48 (10) (2005) 1964–1974
8): D.M. Yang, H.C. Kim, H.L. Lee, S.H. Lee, G.Y. Kim, Squamous cell carcinoma arising from a presacral epidermoid cyst: CT and MR findings, Abdom. Imaging 33 (4) (2008) 498–500
Published
2024-09-27
How to Cite
1.
Dar T, Wagay M, Bhat G, Wani JM. Retrorectal cystic lesion presenting as subcutaneous swelling: A Case Report. jms [Internet]. 2024Sep.27 [cited 2026Oct.2];27(3):44-7. Available from: https://www.jmsskims.org/index.php/jms/article/view/1351
Section
Case Reports

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