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. 2016:24:112-4.
doi: 10.1016/j.ijscr.2016.05.028. Epub 2016 May 21.

A rare retrorectal presentation of a bronchogenic cyst: A case report

Arnaud Pasquer  1 , Filbert Djeudji  2 , Valérie Hervieu  3 , Maud Rabeyrin  4 , Xavier Barth  5
Affiliations

A rare retrorectal presentation of a bronchogenic cyst: A case report

Arnaud Pasquer et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: Bronchogenic cysts are rare abnormalities and a retrorectal presentation is exceptional. Its natural history is not known, but malignant transformation is quite rare. Retrorectal bronchogenic cysts are usually asymptomatic.

Presentation of the case: We present the case of a 36-year-old young man with a past medical history of HIV seropositivity who underwent a procedure to excise a sacral coccyx cyst at another surgical center in February 2009. A histological examination confirmed it was a sacral cyst that was resected in sano. The patient presented with a recurrence of the cyst, and this report describes the combined surgical procedure using a double sacrococcygeal and abdominal approach.

Discussion: A complete excision without cyst rupture is recommended to reduce the risk of local recurrence and malignant transformation, as previously reported. Resection can ben performed using multiple approaches depending on the cyst's location

Conclusion: Herein, we report the case of a retrorectal bronchogenic cyst in a 36 years old man who was initially treated for a pilonidal cyst. A double surgical approach (abdominal and Kraske) resulted in complete resectioning with no reccurrence.

Keywords: Bronchogenic cyst; Retrorectal tumour; Surgical management.

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Figures

Fig. 1
Fig. 1
Pelvic MRI: A sagittal view showing the retrorectal cyst (white arrow).
Fig. 2
Fig. 2
Pelvic MRI, liquid collection (<2 cm) between the sacrum and rectal posterior wall, cyst recurrence.
Fig. 3
Fig. 3
Excision of the lower half of the lesion using the sacrococcygeal approach (6.5 × 4 × 2.5 cm).
Fig. 4
Fig. 4
Removal of the upper half of the lesion using median laparotomy (14 × 6.5 × 0.7 cm).
Fig. 5
Fig. 5
HES stain (hematoxylin eosin saffron), ×25 magnification (left), ×400 magnification (right).
See this image and copyright information in PMC

References

    1. Amendola M.A., Shirazi K.K., Brooks T.J. Transdiaphragmatic bronchopulmonary foregut anomaly: ‘Dumbbell’ bronchogenic cyst. Am. J. Radiol. 1982;138:1165–1167. - PubMed
    1. Foerster H.M., Sengupta E.E., Montag A.G. Retroperitoneal bronchogenic cyst presenting as an adrenal mass. Arch. Pathol. Lab. Med. 1991;115:1057–1059. - PubMed
    1. Itoh H., Shitamura T., Kataoka H. Retroperitoneal bronchogenic cyst: report of a case and literature review. Pathol. Int. 1999;49:152–155. - PubMed
    1. Jae M.C., Min J.J., Wan L. Retroperitoneal bronchogenic cyst presenting as adrenal tumor in adult successfully treated with retroperitoneal laparoscopic surgery. Urology. 2009;73:442.13–442.15. - PubMed
    1. Goh B.K., Chan H.S., Wong W.K. A rare case of “giant” right sided retroperitoneal bronchogenic cyst. Dig. Dis. Sci. 2004;49:1491–1492. - PubMed