Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Tech Coloproctol. 2011 Dec;15(4):469-71. doi: 10.1007/s10151-011-0681-9. Epub 2011 Mar 30.
Rectal duplication cyst is a rare entity that accounts for approximately 4% of all alimentary tract duplications. To the best of our knowledge, the presented cases are the first reports in the English literature of rectal duplication cyst resection by transanal endoscopic microsurgery. We present two patients; both are 41-year-old women with a palpable rectal mass. Workup revealed a submucosal posterior mass that was then resected by transanal endoscopic microsurgery. The pathology report described cystic lesions with squamous and columnar epithelium and segments of smooth muscle. These findings were compatible with rectal duplication cyst. Our limited experience showed good results with minimal morbidity and mortality for resection of rectal duplication cysts of limited size with no evidence of malignancy.
直肠重复囊肿是一种罕见的疾病，约占所有消化道重复畸形的 4%。据我们所知，目前报道的病例是直肠重复囊肿经肛门内镜微创手术切除的首例英文文献报告。我们报告了 2 例患者，均为 41 岁女性，可触及直肠肿块。检查发现黏膜下后壁肿块，然后经肛门内镜微创手术切除。病理报告描述了囊状病变，具有鳞状和柱状上皮以及平滑肌段。这些发现与直肠重复囊肿相符。我们的有限经验表明，对于无恶性证据且大小有限的直肠重复囊肿，经肛门内镜微创手术切除具有良好的效果，且发病率和死亡率低。
