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      Tailgut cyst: A case report and literature review

      case-report

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          Highlights

          • •

            Incidence, embryological origin and formation of a tailgut cyst.

          • •

            Clinical presentation, radiological findings, and diagnosis of a tailgut cyst.

          • •

            Description of our patient’s medical course and surgical treatment.

          • •

            Surgical indications, pros and cons of different surgical approaches.

          Abstract

          Introduction

          Tailgut cysts are rare diseases but can be challenging to manage.

          Presentation of case

          This is a case report of a tailgut cyst, in a 42 year old female. The cyst was incidentally detected on imaging, and treated with Kraske surgical approach.

          Discussion

          Hereby, we review the relevant information present in the medical literature about the incidence, methods of diagnosis, treatment options and management plans.

          Conclusion

          Surgical management should be tailored individually for each patient, based on the advantages and disadvantages of each surgical approach.

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          Most cited references18

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          Tailgut cysts. Report of 53 cases.

          B M Hjermstad, E B HELWIG (1988)
          Fifty-three examples of developmental "tailgut cysts" in the retrorectal space occurred predominantly in women and caused symptoms of mass effect or pain in 51%. The lesions were usually multicystic and lined by a variety of epithelial types, including ciliated columnar, mucin-secreting columnar, transitional, and squamous epithelium. Inflammation was present in 50%. In one patient a poorly differentiated adenocarcinoma was present. These cysts are most likely derived from remnants of the embryonic tailgut and differ from teratomas. Complete excision of the multilocular and multicystic process prevents recurrent draining sinuses and eliminates the possibility of malignant change.
          Article 0 comments Cited 54 times – based on 0 reviews     Review now
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            Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment.

            Michael Dahan, L Arrivé, D Wendum … (2015)
            Developmental cysts are the most common retrorectal cystic lesions in adults, occurring mostly in middle-aged women. They are classified as epidermoid cysts, dermoid cysts, enteric cysts (tailgut cysts and cystic rectal duplication), and neurenteric cysts according to their origin and histopathologic features. Although developmental cysts are often asymptomatic, patients may present with symptoms resulting from local mass effect (eg, constipation, rectal fullness, lower abdominal pain, dysuria), with a palpable retrorectal mass at digital rectal examination, or with a complication. Infection with fistulization, bleeding, and malignant degeneration are the major complications of developmental cysts. A well-defined, unilocular or multilocular, thin-walled cystic lesion is the main imaging feature. Uncommonly, a sacral bone defect and calcifications are associated with developmental cysts. The differential diagnosis includes cystic sacrococcygeal teratoma, anterior sacral meningocele, anal duct or gland cyst, necrotic rectal leiomyosarcoma, extraperitoneal adenomucinosis, cystic lymphangioma, pyogenic abscess, neurogenic cyst, and necrotic sacral chordoma. Complete surgical excision is indicated to establish the diagnosis and avoid complications.
            Article 0 comments Cited 52 times – based on 0 reviews     Review now
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              Malignant risk and surgical outcomes of presacral tailgut cysts.

              Lauren R. Devine, Brian P. H. Metzger, Lucas K Mathis … (2010)
              Presacral tailgut cysts are uncommon and few data exist on the outcomes following surgery. Patients undergoing tailgut cyst resection at the Mayo Clinic between 1985 and 2008 were analysed retrospectively. Demographic data, clinicopathological features, operative details, postoperative complications and recurrence were reviewed. Thirty-one patients were identified (28 women), with a median age of 52 years. Seventeen patients were symptomatic and 28 had a palpable mass on digital rectal examination. Median cyst diameter was 4.4 cm. Four patients had a fistula to the rectum. Complete cyst excision was achieved in all patients; eight underwent distal sacral resection or coccygectomy. Postoperative complications occurred in eight patients but without 30-day mortality. Malignant transformation was present in four patients: adenocarcinoma in three and carcinoid in one. The cyst recurred in one patient after surgery for a benign lesion. Presacral tailgut cysts should be removed due to the risk of malignant transformation. Copyright (c) 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
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                Author and article information

                Contributors
                Mazen Haydar
                Kai Griepentrog
                Journal
                Journal ID (nlm-ta): Int J Surg Case Rep
                Journal ID (iso-abbrev): Int J Surg Case Rep
                Title: International Journal of Surgery Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2210-2612
                Publication date PMC-release: 25 March 2015
                Publication date Collection: 2015
                Publication date (Electronic): 25 March 2015
                Volume: 10
                Pages: 166-168
                Affiliations
                [0005]Department of Visceral and Vascular Surgery, Kreiskrankenhaus Stollberg gGmbH, Jahnsdorfer Straße 7, Stollberg 09366, Germany
                Author notes
                [* ]Corresponding author at: Lebanese University, Faculty of Medicine–Department of General Surgery. Tel.: +49 151 21 444 550. mazen.haydar@ 123456hotmail.com
                Article
                Publisher ID: S2210-2612(15)00152-2
                DOI: 10.1016/j.ijscr.2015.03.031
                PMC ID: 4430219
                PubMed ID: 25853843
                SO-VID: cb445c4e-5f46-4744-84b7-549828a35399
                Copyright © © 2015 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 31 October 2014
                Date revision received : 11 March 2015
                Date accepted : 12 March 2015
                Categories
                Subject: Case Report

                Keywords: tailgut cyst,kraske surgical approach,review of the literature
                Data availability:
                Keywords: tailgut cyst, kraske surgical approach, review of the literature

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