Godlewski G, Philippe O, Ould Said H, Prudhomme M, Poilleux J, Pignodel C, Emptas H
Département de chirurgie digestive et de cancérologie digestive, hôpital Carémeau, CHU, rue du Professeur-Robert-Debré, 30900 Nîmes, France.
Ann Chir. 2000 Nov;125(9):844-9. doi: 10.1016/s0003-3944(00)00016-x.
The aim of this retrospective study was to report three cases of retrorectal vestigial cyst in adults.
From 1977 to 1999 retrorectal vestigial cyst (RVC) was diagnosed in our department in three women who were 28, 57 and 53 years of age, respectively. RVC was revealed by either pain (n = 2) that occurred in one case in a pregnant woman, or acute intestinal obstruction (n = 1). The patients were operated on using a perineal approach in two cases and an abdominal approach in one case.
One epidermoid cyst and two mixed cysts without any sign of malignancy were observed. Postoperative follow-up was simple in two patients, while complications occurred in the third one via an uretero-vaginal fistula which required uretero-vesical reimplantation. The first two patients, reviewed after a 1-year follow-up, had no functional trouble and no sign of recurrence.
Retrorectal vestigial cysts are very rare tumors with a risk for degeneration. Computerized tomography on nuclear magnetic resonance and endorectal ultrasonography allow detection of their structure and topography and help guide their surgical approach. In the absence of malignancy, wide excision, if possible without opening of the cystic wall, leads to good results.
本回顾性研究旨在报告三例成人直肠后残余囊肿病例。
1977年至1999年间，我院诊断出三例直肠后残余囊肿（RVC）患者，分别为28岁、57岁和53岁的女性。RVC的表现为疼痛（n = 2），其中一例发生在孕妇身上，或急性肠梗阻（n = 1）。两例患者采用会阴入路手术，一例采用腹部入路手术。
观察到一例表皮样囊肿和两例无任何恶性迹象的混合性囊肿。两名患者术后随访情况简单，而第三名患者出现输尿管阴道瘘并发症，需要进行输尿管膀胱再植术。前两名患者在1年随访后复查，无功能障碍且无复发迹象。
直肠后残余囊肿是非常罕见的肿瘤，有退变风险。计算机断层扫描、核磁共振和直肠内超声检查可检测其结构和位置，并有助于指导手术入路。在无恶性病变的情况下，尽可能不打开囊壁进行广泛切除可取得良好效果。
