RETRORECTAL TUMOR : A RARE ENTITY

Dr. Mayur. G. Rabari, Dr. Esha Bansal, Dr. Vaibhav Parekh, Dr. Sunny Gajjar

Abstract


INTRODUCTION

Primary neoplasms of the retrorectal (presacral) space are very rare. These lesions

may be congenital or acquired, benign or malignant. They often arise with subtle clinical

symptoms, or they may be found incidentally during evaluation for other conditions.

Preoperative imaging can provide useful information for operative planning, however, it

does not replace findings for surgery. Approaches for resection include posterior only

and combined abdominoperineal, depending on the characteristics of the lesion.

 

 

CASE PRESENTATION

A case of  20 years old female, presented in outpatient clinic with bowel disturbance and lower abdominal pain. Investigations were done including contrast enhanced computed tomography (CT)and magnetic resonance imaging (MRI) of whole abdomen and pelvis which revealed ill defined heterogenously enhancing mass in retrorectal space; followed by which patient was taken for surgery and biopsy taken.

 CONCLUSION

Retrorectal tumors remain a difficult diagnostic and therapeutic challenge despite the use of newer imaging modalities and improvements in perioperative care. Complete resection with negative margins is the standard for benign retrorectal tumors.

 


Keywords


Retrorectal tumor, presacral space.

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References


Surgical management of retrorectal tumors. AJR 2015; 204:386–395 0361–803X/15/2042–386

Retrorectal Tumors. CLINICS IN COLON AND RECTAL SURGERY/VOLUME 19, NUMBER 2 2006

Table 1. Published in Abdominal Imaging 2015.MR imaging of the retrorectal–presacral tumors: an algorithmic approach. Hooman Hosseini-Nik, Keyanoosh Hosseinzadeh, Rajesh Bhayana, Kartik S. Jhaveri.

Hobson KG, Ghaemmaghami V, Roe JP, Goodnight JE, Khatri VP (2005) Tumors of the retrorectal space. Dis Colon Rectum 48: 1964-1974.

Glasgow SC, Birnbaum EH, Lowney JK, Fleshman JW, Kodner IJ, et al. (2005) Retrorectal tumors: a diagnostic and therapeutic challenge. Dis Colon Rectum 48: 1581-1587.

Evans HL (1993) Low-grade fibromyxoid sarcoma. A report of 12 cases. Am J Surg Pathol 17: 595-600.

Du F, Jin K, Hu X, Dong X, Cao F (2012) Surgical treatment of retrorectal tumors: a retrospective study of a ten-year experience in three institutions. Hepatogastroenterology 59: 1374-1377.


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