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

doi:10.1016/j.ijscr.2020.07.058

International Journal of Surgery Case Reports

2020

DOI: 10.1016/j.ijscr.2020.07.058

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A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision

Tetsuro Tominaga

Takashi Nonaka

Akiko Fukuda

et al.

Abstract: Highlights Rectal duplication cyst is extremely rare. Adult onset rectal duplication cyst usually contains malignant formation. Complete tumor resection is needed for the disease to prevent malignant change. Synchronous trans abdominal and anal approach was effective for complete tumor resection.

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2024

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Cited by 2 publications

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Rectal duplication in adult presented with constipation: a case report and literature review

Tantiphlachiva,

Sirimongkolkasem,

Patcharatrakul

et al. 2024

Discov Med

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Background Rectal duplication is a rare congenital disease which is mostly diagnosed during childhood. Diagnosis in adulthood could be obscured as the presenting symptoms including difficult defecation, bloating, and abdominal distension would lead to other diagnosis. Constipation is common in female adult and conservative treatment is usually successful. Refractory constipation requires further work-up. However, rectal duplication is a rare cause of adult constipation. Methods We reported a 42-year-female who presented with chronic constipation which became intractable after total abdominal hysterectomy. Barium enema, CT scan, and colonoscopy revealed an additional rectal pouch connecting to the native rectum containing large fecaloma. Anorectal manometry showed dyssynergic defecation, rectal hyposensitivity but presence of rectoanal inhibitory reflex. Results Transabdominal resection of the rectal duplication pouch and protective colostomy was performed. After a course of biofeedback, the colostomy was reversed. The patient remains healthy at 4 years of follow up. Conclusion Rectal duplication could be a cause of refractory constipation in adulthood. A collection of fecal material via a connection with the native rectum led to a large symptomatic fecaloma.

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Rectal duplication in adult presented with constipation: a case report and literature review

Tantiphlachiva,

Sirimongkolkasem,

Patcharatrakul

et al. 2024

Discov Med

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show abstract

Rectal duplication cyst presenting with change in bowel habits and rectal bleeding: A case report and literature review

Dallal,

Narayanasamy,

Ramasamy

et al. 2024

Surgery Case Reports

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A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision

Cited by 2 publications

References 18 publications

Rectal duplication in adult presented with constipation: a case report and literature review

Rectal duplication in adult presented with constipation: a case report and literature review

Rectal duplication cyst presenting with change in bowel habits and rectal bleeding: A case report and literature review

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