A rare retrorectal presentation of a bronchogenic cyst: A case report. (2016)

• Record Type: Journal Article
• Authors: Pasquer, Arnaud; Djeudji, Filbert; Hervieu, Valérie; Rabeyrin, Maud; Barth, Xavier
• Is Part Of: International journal of surgery case reports. Volume 24(2016)
• Page Start: 112
• Page End: 114
• Publication Date: 2016
• Subjects: Bronchogenic cyst -- Retrorectal tumour -- Surgical management; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.05.028
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Bronchogenic cyst is a rare entity with low risk of malignant transformation. A complete excision without rupture of the cyst is recommended in order to have a long term recurrence free survival. The surgical approach must be decided depending on its' location. 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.