Adenocarcinoma arising in a rectal duplication cyst with distant metastasis

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COD: 2793_23_04_2018_EP Categorie: , ,

Odysseas Mouzakis, George Korovesis, Phivos Georgiadis, Mara Piagou,
Dimitrios Filippou, Panagiotis Skandalakis

Ann Ital Chir, Digital Edition 2018, 7
Epub, April 23

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INTRODUCTION: Rectal duplication cysts are rare cystic lesions, arising from the hindgut and classified as congenital/developmental
tumors of the presacral space. Their clinical presentation is nonspecific, the diagnosis remains difficult and their
management is aided by a multidisciplinary evaluation.
CASE REPORT: We report the case of a 55-year-old woman with a cystic mass located in the retrorectal space and identified
incidentally on a CT scan. Following imaging studies, surgical resection by a posterior approach (Kraske procedure)
was carried out and an adenocarcinoma arising in a duplication cyst of the rectum was present an uncommon
case of a rectal duplication cyst with malignant transformation and distant metastasis, describe the clinical, radiologic
and pathologic findings and discuss tidentified by microscopy.
CONCLUSION: We phe embryological basis of rectal duplication cysts and the surgical anatomy of the presacral space.