Surgical management of tailgut cysts: A rare case report.

RATIONALE

Tailgut cysts are a type of very rare congenital polycystic lesions that are always located posterior to the rectum and anterior to the sacrum. The symptoms of tailgut cysts are nonspecific and misleading. Therefore, a full understanding of the characteristics of tailgut cysts is important for their diagnosis and treatment.

PATIENT CONCERNS

We report a 46-year-old female with a sacrococcygeal mass that had been present for about 2 years.

DIAGNOSES

Pelvic magnetic resonance imaging (MRI) indicated several cystic masses, the largest of which had a diameter of about 2.8 cm, near the ligaments of the sacrospinous and rectum. Pathological examination confirmed the tailgut cysts, with no signs of malignant transformation.

INTERVENTIONS

The patient received complete surgical cysts resection, which was performed through the sacrococcygeal region.

OUTCOMES

The patient recovered well with no obvious complication and was discharged on the sixth-day post-surgery. Follow-up 6 months later revealed no signs of cyst recurrence.

LESSONS

The symptoms and diagnostic characteristics of tailgut cysts should be fully understood. Complete surgical resection through the sacrococcygeal region is vital to treat tailgut cysts.