A Case of Primary Cystic Teratoma in the Rectum

We report the rare case of a 34-year-old woman with primary cystic teratoma of the rectum, pinpointed in a colonoscopy. A tumor with a hair ball that fled easily was found in the anterior rectum about 8 cm from the anal verge in colonoscopy. Magnetic resonance imaging showed a tumor protruding from...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2009/02/01, Vol.42(2), pp.227-232
Hauptverfasser: Tanaka, Tsuyoshi, Matoba, Syuichiro, Sawada, Toshihito, Haruta, Syusuke, Toda, Shigeo, Moriyama, Jin, Yokoyama, Tsuyoshi, Hashimoto, Masaji, Udagawa, Harushi, Watanabe, Goro
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container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 42
creator Tanaka, Tsuyoshi
Matoba, Syuichiro
Sawada, Toshihito
Haruta, Syusuke
Toda, Shigeo
Moriyama, Jin
Yokoyama, Tsuyoshi
Hashimoto, Masaji
Udagawa, Harushi
Watanabe, Goro
description We report the rare case of a 34-year-old woman with primary cystic teratoma of the rectum, pinpointed in a colonoscopy. A tumor with a hair ball that fled easily was found in the anterior rectum about 8 cm from the anal verge in colonoscopy. Magnetic resonance imaging showed a tumor protruding from the anterior wall of the rectum to ventral side. The tumor showed high intensity in T1-weighted imaging, and low intensity in T2-weighted imaging, which was markedly enhanced in diffusion imaging. Laboratory findings showed anemia, and poor nutrition. At laparoscopy, the tumor was found at Douglas fossa with highly adhesion with uterus, necessitating open total uterectomy and low anterior resection. The tumor was resected en-block with the uterus and rectum. Histopathological findings showed cystic teratoma ruptured into the rectum from the rectal wall.
doi_str_mv 10.5833/jjgs.42.227
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subjects dermoid cyst
rectum
teratoma
title A Case of Primary Cystic Teratoma in the Rectum
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