Vilnius University Hospital, Santariskiu Klinikos, Centre of Abdominal Surgery, Vilnius, Lithuania.
Eur J Med Res. 2011 May 12;16(5):231-6. doi: 10.1186/2047-783x-16-5-231.
Retrorectal tumours are rare lesions in adults. The diagnosis of retrorectal lesion is often difficult and misdiagnosis is common. We present significant number of cases in view of scarce information available on this matter.
14 patients were treated at Vilnius university hospital "Santariskiu klinikos" Centre of abdominal surgery from 1997 to 2010. The case notes of patients who underwent surgery for a retrorectal tumour were reviewed retrospectively. Surgical histories, operations, histological tumour type, surgical time, weight of the specimen, blood loss, length of stay were analysed.
13 patients underwent laparotomy, 1 patient had combined perineal approach and laparotomy. The most common types of the tumour were fibroma (3 cases), leiomyosarcoma (2 cases). 5 tumours (35,7%) were found to be malignant. 57% of the patients had undergone at least one operation prior to definitive treatment. 5 female patients were initially admitted under gynaecologists. Hospital stay varied from 14 days to 22 days (mean 16.2 days). A report of a representative case is presented.
Retrorectal lesions in female patients can mimic gynaecological pathology. Patients with this rare pathology are to be treated in a major tertiary hospital by surgeons, who are able to operate safely in the retrorectal space.
成人直肠后肿瘤较为罕见，其诊断常常较为困难，误诊率较高。我们就这一罕见疾病的相关病例进行了分析。
1997 年至 2010 年，共有 14 例患者在维尔纽斯大学“Santariskiu klinikos”腹部外科中心接受了治疗。我们对接受直肠后肿瘤手术的患者的病历进行了回顾性分析，总结了手术史、手术类型、肿瘤组织学类型、手术时间、标本重量、失血量和住院时间等信息。
13 例患者接受了剖腹手术，1 例患者联合了经会阴入路和剖腹手术。最常见的肿瘤类型为纤维瘤（3 例）和平滑肌肉瘤（2 例）。其中 5 例（35.7%）为恶性肿瘤。57%的患者在接受确定性治疗前至少接受过一次手术。5 例女性患者最初被收入妇科治疗。住院时间为 14 天至 22 天（平均 16.2 天）。文中报告了 1 例有代表性的病例。
女性直肠后肿瘤可能与妇科疾病相似。对于此类罕见疾病，应由能够在直肠后间隙安全手术的外科医生在大型三级医院进行治疗。
