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A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision
INTRODUCTION: Rectal duplication cyst is extremely rare. Most of the cases diagnosed before two years old. Adult onset rectal duplication cyst usually contains malignant formation. Then complete tumor resection is needed for the disease to prevent malignant change. PRESENTATION OF CASE: A 52-year-ol...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396905/ https://www.ncbi.nlm.nih.gov/pubmed/32750655 http://dx.doi.org/10.1016/j.ijscr.2020.07.058 |
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author | Tominaga, Tetsuro Nonaka, Takashi Fukuda, Akiko Moriyama, Masaaki Oyama, Syouzaburou Hidaka, Shigekazu Tabata, Kazuhiro Sawai, Terumitsu Nagayasu, Takeshi |
author_facet | Tominaga, Tetsuro Nonaka, Takashi Fukuda, Akiko Moriyama, Masaaki Oyama, Syouzaburou Hidaka, Shigekazu Tabata, Kazuhiro Sawai, Terumitsu Nagayasu, Takeshi |
author_sort | Tominaga, Tetsuro |
collection | PubMed |
description | INTRODUCTION: Rectal duplication cyst is extremely rare. Most of the cases diagnosed before two years old. Adult onset rectal duplication cyst usually contains malignant formation. Then complete tumor resection is needed for the disease to prevent malignant change. PRESENTATION OF CASE: A 52-year-old man was referred to our hospital due to bloody stool. Colonoscopy showed 20-mm of sub-mucosal tumor at low rectum. Biopsy revealed no specific findings. Abdominal computed tomography showed that a 20-mm low density mass at posterior of lower rectum. As the existence of malignant lesion was unassailable, we planned two team, trans abdominal and trans-anal, laparoscopic low anterior resection. Perioperative course was good. Macroscopically, rectum had a submucosal cystic mass fulfilled mucinous content. Histologically, cyst wall was covered with heterotopic ciliated epithelium and composed of smooth muscle. DISCUSSION: Trans-anal total mesorectal excision (ta-TME) was introduced as beneficial approach for rectal malignancies. CONCLUSION: Complete resection was possible by TME was necessary for patients with adult rectal duplication cyst, and synchronous trans-abdominal and trans-anal approach is a promising option. |
format | Online Article Text |
id | pubmed-7396905 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-73969052020-08-06 A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision Tominaga, Tetsuro Nonaka, Takashi Fukuda, Akiko Moriyama, Masaaki Oyama, Syouzaburou Hidaka, Shigekazu Tabata, Kazuhiro Sawai, Terumitsu Nagayasu, Takeshi Int J Surg Case Rep Article INTRODUCTION: Rectal duplication cyst is extremely rare. Most of the cases diagnosed before two years old. Adult onset rectal duplication cyst usually contains malignant formation. Then complete tumor resection is needed for the disease to prevent malignant change. PRESENTATION OF CASE: A 52-year-old man was referred to our hospital due to bloody stool. Colonoscopy showed 20-mm of sub-mucosal tumor at low rectum. Biopsy revealed no specific findings. Abdominal computed tomography showed that a 20-mm low density mass at posterior of lower rectum. As the existence of malignant lesion was unassailable, we planned two team, trans abdominal and trans-anal, laparoscopic low anterior resection. Perioperative course was good. Macroscopically, rectum had a submucosal cystic mass fulfilled mucinous content. Histologically, cyst wall was covered with heterotopic ciliated epithelium and composed of smooth muscle. DISCUSSION: Trans-anal total mesorectal excision (ta-TME) was introduced as beneficial approach for rectal malignancies. CONCLUSION: Complete resection was possible by TME was necessary for patients with adult rectal duplication cyst, and synchronous trans-abdominal and trans-anal approach is a promising option. Elsevier 2020-07-24 /pmc/articles/PMC7396905/ /pubmed/32750655 http://dx.doi.org/10.1016/j.ijscr.2020.07.058 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tominaga, Tetsuro Nonaka, Takashi Fukuda, Akiko Moriyama, Masaaki Oyama, Syouzaburou Hidaka, Shigekazu Tabata, Kazuhiro Sawai, Terumitsu Nagayasu, Takeshi A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title | A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title_full | A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title_fullStr | A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title_full_unstemmed | A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title_short | A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
title_sort | case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396905/ https://www.ncbi.nlm.nih.gov/pubmed/32750655 http://dx.doi.org/10.1016/j.ijscr.2020.07.058 |
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