Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge
Rectal duplications are rare congenital anomalies that represent 1%-6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty...
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| Veröffentlicht in: | BMJ case reports 2022-03, Vol.15 (3), p.e248791 |
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| creator | Cavadas, Sofia Gonçalves, Eduarda Costa-Pereira, Carlos Costa-Pereira, Joaquim |
| description | Rectal duplications are rare congenital anomalies that represent 1%-6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus. |
| doi_str_mv | 10.1136/bcr-2022-248791 |
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We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2022-248791</identifier><identifier>PMID: 35292550</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Abdominal Cavity ; Adult ; Antibiotics ; Anus ; Anus, Imperforate - complications ; Anus, Imperforate - diagnosis ; Anus, Imperforate - surgery ; Asymptomatic ; Blood tests ; Case reports ; Case Reports: Rare disease ; Constipation ; Cysts ; Cysts - complications ; Cysts - diagnosis ; Cysts - surgery ; Douglas' Pouch ; Fecal incontinence ; Female ; Fistula ; Gastrointestinal Tract ; Humans ; Infections ; Laparoscopy ; Medical diagnosis ; Medical imaging ; Pain ; Rectum ; Surgery ; Surgical outcomes ; Ultrasonic imaging ; Urinary retention ; Urogenital system ; Uterus ; Vagina</subject><ispartof>BMJ case reports, 2022-03, Vol.15 (3), p.e248791</ispartof><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ. 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-5969bc9a1bf8ab881b6217619e144a9264f7fb3d120ef3e8444849ed4814e5c33</citedby><cites>FETCH-LOGICAL-c380t-5969bc9a1bf8ab881b6217619e144a9264f7fb3d120ef3e8444849ed4814e5c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8928239/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8928239/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35292550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cavadas, Sofia</creatorcontrib><creatorcontrib>Gonçalves, Eduarda</creatorcontrib><creatorcontrib>Costa-Pereira, Carlos</creatorcontrib><creatorcontrib>Costa-Pereira, Joaquim</creatorcontrib><title>Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Rectal duplications are rare congenital anomalies that represent 1%-6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.</description><subject>Abdomen</subject><subject>Abdominal Cavity</subject><subject>Adult</subject><subject>Antibiotics</subject><subject>Anus</subject><subject>Anus, Imperforate - complications</subject><subject>Anus, Imperforate - diagnosis</subject><subject>Anus, Imperforate - surgery</subject><subject>Asymptomatic</subject><subject>Blood tests</subject><subject>Case reports</subject><subject>Case Reports: Rare disease</subject><subject>Constipation</subject><subject>Cysts</subject><subject>Cysts - complications</subject><subject>Cysts - diagnosis</subject><subject>Cysts - surgery</subject><subject>Douglas' Pouch</subject><subject>Fecal incontinence</subject><subject>Female</subject><subject>Fistula</subject><subject>Gastrointestinal Tract</subject><subject>Humans</subject><subject>Infections</subject><subject>Laparoscopy</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Pain</subject><subject>Rectum</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Ultrasonic imaging</subject><subject>Urinary retention</subject><subject>Urogenital system</subject><subject>Uterus</subject><subject>Vagina</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkd1LHDEUxYMoKupz30qgL75MzddMkj4UyqJVEApioU8Nmcyd3Uh2sk0yyv73jayKbbiQC_d3D_dwEPpAyWdKeXfRu9QwwljDhJKa7qFjKlvZSE1-7b_rj9BZzg-kPk6FEvwQHfGWada25Bj9vgNXbMDDvAne2eLjhN02F-wnbGsNcyj4yZcVtnjlc4lpi-OI_XoDaYzJFqjYnL_U8eDtcoq5eIfdyoYA0xJO0cFoQ4azl_8E_by6vF9cN7c_vt8svt02jitSmlZ3unfa0n5UtleK9h2jsqMaqBBWs06Mcuz5QBmBkYMSohrRMAhFBbSO8xP0dae7mfs1DA6mkmwwm-TXNm1NtN78O5n8yizjo1GaKcZ1FTh_EUjxzwy5mLXPDkKwE8Q5m3oCIUIKSSr66T_0Ic5pqvYqxbWmSnaiUhc7yqWYc4Lx7RhKzHN8psZnnuMzu_jqxsf3Ht7417D4XyoJlow</recordid><startdate>20220315</startdate><enddate>20220315</enddate><creator>Cavadas, Sofia</creator><creator>Gonçalves, Eduarda</creator><creator>Costa-Pereira, Carlos</creator><creator>Costa-Pereira, Joaquim</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220315</creationdate><title>Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge</title><author>Cavadas, Sofia ; Gonçalves, Eduarda ; Costa-Pereira, Carlos ; Costa-Pereira, Joaquim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-5969bc9a1bf8ab881b6217619e144a9264f7fb3d120ef3e8444849ed4814e5c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Abdominal Cavity</topic><topic>Adult</topic><topic>Antibiotics</topic><topic>Anus</topic><topic>Anus, Imperforate - complications</topic><topic>Anus, Imperforate - diagnosis</topic><topic>Anus, Imperforate - surgery</topic><topic>Asymptomatic</topic><topic>Blood tests</topic><topic>Case reports</topic><topic>Case Reports: Rare disease</topic><topic>Constipation</topic><topic>Cysts</topic><topic>Cysts - complications</topic><topic>Cysts - diagnosis</topic><topic>Cysts - surgery</topic><topic>Douglas' Pouch</topic><topic>Fecal incontinence</topic><topic>Female</topic><topic>Fistula</topic><topic>Gastrointestinal Tract</topic><topic>Humans</topic><topic>Infections</topic><topic>Laparoscopy</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Pain</topic><topic>Rectum</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Ultrasonic imaging</topic><topic>Urinary retention</topic><topic>Urogenital system</topic><topic>Uterus</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cavadas, Sofia</creatorcontrib><creatorcontrib>Gonçalves, Eduarda</creatorcontrib><creatorcontrib>Costa-Pereira, Carlos</creatorcontrib><creatorcontrib>Costa-Pereira, Joaquim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cavadas, Sofia</au><au>Gonçalves, Eduarda</au><au>Costa-Pereira, Carlos</au><au>Costa-Pereira, Joaquim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2022-03-15</date><risdate>2022</risdate><volume>15</volume><issue>3</issue><spage>e248791</spage><pages>e248791-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Rectal duplications are rare congenital anomalies that represent 1%-6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>35292550</pmid><doi>10.1136/bcr-2022-248791</doi></addata></record> |
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| subjects | Abdomen Abdominal Cavity Adult Antibiotics Anus Anus, Imperforate - complications Anus, Imperforate - diagnosis Anus, Imperforate - surgery Asymptomatic Blood tests Case reports Case Reports: Rare disease Constipation Cysts Cysts - complications Cysts - diagnosis Cysts - surgery Douglas' Pouch Fecal incontinence Female Fistula Gastrointestinal Tract Humans Infections Laparoscopy Medical diagnosis Medical imaging Pain Rectum Surgery Surgical outcomes Ultrasonic imaging Urinary retention Urogenital system Uterus Vagina |
| title | Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge |
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