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Case Reports
. 2019 Dec 17;2019(12):rjz331.
doi: 10.1093/jscr/rjz331. eCollection 2019 Dec.

Pararectal angiomyxoma: a diagnostic dilemma

Abhay N Dalvi  1 , Mahadeo N Garale  1 , Jayati J Churiwala  1 , Avinash Landge  1 , Sakina Husain  1 , Ajinkya Rewatkar  1
Affiliations
Case Reports

Pararectal angiomyxoma: a diagnostic dilemma

Abhay N Dalvi et al. J Surg Case Rep. .

Abstract

Clinical diagnosis of pararectal masses remains a challenge to this day. Despite the availability of advanced imaging facilities, we often fail to reach a definitive diagnosis and have to resort to surgery. We describe a case of a 60-year-old female with a painless perianal swelling gradually increasing in size for 6 months with spontaneous reduction on assuming a supine position. Clinical examination of this patient was suggestive of a pelvic floor hernia. However, radiological investigations were suggestive of an ischiorectal abscess. In view of lack of radiological corroboration of clinical findings, patient underwent diagnostic laparoscopy which ruled out a hernia. A wide local excision of the mass was performed, which on histopathology with immunohistochemistry examination revealed an aggressive pararectal angiomyxoma.

Keywords: Angiomyxoma; Pararectal swelling; Pelvic floor hernia.

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Figures

Figure 1
Figure 1
Preoperative CECT scan showing pararectal swelling.
Figure 2
Figure 2
Intraoperative photograph showing pararectal tumour.
Figure 3
Figure 3
Specimen of excised pararectal mass lesion.
See this image and copyright information in PMC

References

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