A case of dermoid arising from the rectal wall

Abstract

posterior wall of the viscus. The esophagus was itself greyish in colour and had the appearance of chamoisleather. The perforation was closed with one pursestring suture of catgut. A drainage tube was inserted in the right pleural cavity and the incision in the chest wall was closed. During the operation the patient was given two pints of blood and at the end her condition was relatively good. The drainage tube was connected with a suction apparatus and she was put on a course of systemic penicillin of 20,ooo units three-hourly. After the operation her condition rapidly improved. (Fig. 234.) A small amount of liquid was drained from the pleura but the esophagus did not leak. She was put on a diet consisting mainly of liquids and given magnesium trisilicate by mouth. She was nursed in the sitting position.PRoGRESS.-Eight days after the operation she developed a sharp attack of asthma and on this day there was a small leak from the esophagus. A Ryle's tube was passed and she was fed with a continuous drip of citrated milk. Her condition again improved and there was no further leak from the esophagus into the right pleural cavity; but on March 26 radiographs showed a collection of liquid with a fluid level in the left side of the mediastinum and her condition again began to deteriorate (Fig. 235). This abscess was drained by a left costo-transversectomy and a fair-sized pocket was opened. At the same operation the abdominal cavity was opened and an enterostomy performed. Two days later her condition had again improved and after a short time it was possible to remove the enterostomy tube.By May 21 she was completely convalescent and a barium swallow showed no definite abnormality of the esophagus. There was no obstruction and no difficulty in swallowing. The right lung had expanded completely but a small patch of infiltration, which was thought to be tuberculosis, appeared in the right mid-zone (Fig. 236). During the next two months her condition remained excellent but, during this time, she developed an abscess in the right upper lobe of the lung which discharged spontaneously into the bronchus and which never caused her any serious illness. She has no signs or symptoms referable to the lungs, esophagus, or abdomen. (Fig. 237.) This case is, I believe, the first in which spontaneous perforation of the oesophagus has been operated upon successfully.

Intrarectal Dermoid: Report of a Case

“…rectal dermoid cyst is so rare that we could not find Since the report of a rectal dermoid by Nigam in 1947, no other such report could be found in the literature. A case of an intrarectal dermoid arising from the left ovary in a 26-year-old woman is reported.…”

“…Dermoids in the wall of the rectum are rarely met dermoid cysts are usually pedunculated and are with, and the majority reported so far have been of furnished with long locks Of hair which protrude the nature of dermoid cysts (Nigam, 1947). The from the anus and annoy the Patient (Nigam,1g47).…”

Submucosal Dermoid Cyst of the Rectum: Report of a Case

“…2 Dermoids of the rectal wall occur either as cysts or solid tumors. 3,4 Teratomas originally arising in the gastrointestinal tract are uncommon. A rectal cyst, one type of teratoma, is also uncommon, and only 36 cases have been reported in literature worldwide.…”