6533b7cffe1ef96bd12583fa

RESEARCH PRODUCT

Retrorectal tumour simulating vaginal birth: an exceptional case of emergency surgery indication

Salvador Pous-serranoEduardo Alvarez-sarradoOmar Carreño SaenzJose Pamies-gilabert

subject

medicine.medical_specialtyVaginal birthPerineumArticleDiagnosis Differential03 medical and health sciences0302 clinical medicineEmergency surgeryFemale patientHumansMedicineCystPelvic organCystsRectal Neoplasmsbusiness.industryRare entityDisease ManagementGeneral MedicineMiddle Agedmedicine.diseaseSurgeryRectal DiseasesTreatment Outcome030220 oncology & carcinogenesisVaginaProlapsed haemorrhoidsFemale030211 gastroenterology & hepatologyDifferential diagnosisTomography X-Ray Computedbusiness

description

Cystic retrorectal tumours are a very rare entity that pose a problem in differential diagnosis between congenital cyst and other lesions. We present a 49-year-old female patient presenting a perineal bulge which was discovered simulating a vaginal birth associated with prolapsed haemorrhoids grade IV. The interest of this case resides in the surgical indication of a big presacral cyst demonstrated via CT causing acute intense pain due to pelvic organ compression, as no emergent surgery management has been reported up to date.

https://doi.org/10.1136/bcr-2017-219211