Retrorektal dermoid kist: Olgu sunum

Yıl 2013, Cilt: 12 Sayı: 2, 81 - 83, 01.08.2013

Cem Çekiç Zeynep Zehra Gümüş Serkan İpek Sinan Akay Emrah Alper Cemil Çalişkan - Belkıs Ünsal -

Öz

Retrorektal kistler gelişimsel kistler olup, kökenlerine ve histopatolojik özelliklerine göre; dermoid kist, rektal duplikasyon kistleri ve kistik hamartomlar (Tailgut kistleri) olarak sınıflandırılabilirler. Dermoid kistler çoğunlukla overian yerleşim göstermekle beraber, mediastende, retroperitoneal bölgede ve nadiren retrorektal lokalizasyonda da görülebilmektedirler. Retrorektal kistler genellikle asemptomatik olsalar da rektal dolgunluk, defekasyon düzensizlikleri, karın ağrısı ve disparoni gibi şikayetlere neden olabilirler. Çoğunlukla rutin pelvik muayene ve görüntüleme yöntemleri ile rastlantısal olarak tanınırlar. Genellikle benign lezyonlar olmalarına rağmen malign transformasyon ve enfeksiyon gelişme riskleri nedeni ile tanı konulduğunda cerrahi olarak çıkarılmaları gerekmektedir. Bu yazıda erişkin bayan hastada, rutin pelvik muayene esnasında fark edilen ve cerrahi olarak çıkarılan retrorektal dermoid kistin tanı ve tedavisi irdelenmiştir

Anahtar Kelimeler

Retrorektal kistler, dermoid kist, endosonografi, abdominosakral rezeksiyon

Retrorectal dermoid cyst: Case report

Öz

Retrorectal cysts are developmental cysts, and according to their origin and histopathological features, they are classified as dermoid cysts, rectal duplication cysts and cystic hamartomas (tailgut cysts). Although dermoid cysts have mostly ovarian localization, they can be seen in mediastinal, retroperitoneal, and rarely, retrorectal localizations. Although retrorectal cysts are usually asymptomatic, they might cause problems such as rectal fullness, defecation disorders, abdominal pain, and dyspareunia. They are incidentally diagnosed mostly on routine pelvic examinations and with imaging methods. Though they are usually benign lesions, after the diagnosis, they should be surgically removed because of the risks of malignant transformation and infection. In this article, we examined the diagnosis and treatment of a retrorectal dermoid cyst, which was discovered during the routine pelvic examination and surgically removed from an adult female patient

Anahtar Kelimeler

Retrorectal cysts, dermoid cyst, endosonography, abdominosacral resection

Kaynakça

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