Alvarez-Sarrado Eduardo, Pous-Serrano Salvador, Carreño Saenz Omar, Pamies-Gilabert Jose
Department Of General Surgery, Colorectal Unit, La Fe University Hospital, University of Valencia, Valencia, Spain.
Department of Radiology, La Fe University Hospital, University of Valencia, Valencia, Spain.
BMJ Case Rep. 2017 Jun 19;2017:bcr-2017-219211. doi: 10.1136/bcr-2017-219211.
Cystic retrorectal tumours are a very rare entity that pose a problem in differential diagnosis between congenital cyst and other lesions. We present a 49-year-old female patient presenting a perineal bulge which was discovered simulating a vaginal birth associated with prolapsed haemorrhoids grade IV. The interest of this case resides in the surgical indication of a big presacral cyst demonstrated via CT causing acute intense pain due to pelvic organ compression, as no emergent surgery management has been reported up to date.
直肠后囊性肿瘤是一种非常罕见的疾病，在先天性囊肿与其他病变的鉴别诊断中存在问题。我们报告一例49岁女性患者，其出现会阴肿物，最初被误诊为与IV度痔脱垂相关的阴道分娩。该病例的意义在于，通过CT显示的巨大骶前囊肿因压迫盆腔器官而引起急性剧痛，目前尚无紧急手术治疗的报道，而该病例给出了手术指征。
