Sharma Ashish, Agarwal Samarth, Kumar Manoj, Sankhwar Satyanarayan
Urology, King George's Medical University, Lucknow, Uttar-Pradesh, India.
Urology, CSM Medical University (Upgraded KGMC), Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2019 Mar 8;12(3):e226338. doi: 10.1136/bcr-2018-226338.
Anterior rectal duplication cyst is rare entity with <50 reported cases to date. It has myriad presentations like bleeding per rectum, constipation, rectal prolapsed and intestinal obstruction due to extrinsic compression of rectum. However, the association of enlarged duplication cyst compressing the bladder neck or ureter, and leading to bladder outlet obstruction or hydroureteronephrosis is extremely rare with only a handful of reported cases. We report a rare case of large anterior rectal duplication cyst in a young girl leading to acute urinary retention with bladder outlet obstruction which was eventually managed by laparoscopic-assisted transabdominal surgical excision of the cyst. The authors believe that such an association has not been previously reported in this age group.
直肠前重复囊肿是一种罕见的疾病，迄今为止报道的病例不足50例。它有多种表现形式，如直肠出血、便秘、直肠脱垂以及因直肠外部受压导致的肠梗阻。然而，巨大的重复囊肿压迫膀胱颈或输尿管，导致膀胱出口梗阻或肾盂积水的情况极为罕见，仅有少数病例报道。我们报告了一例年轻女孩的罕见病例，其巨大的直肠前重复囊肿导致急性尿潴留和膀胱出口梗阻，最终通过腹腔镜辅助经腹手术切除囊肿进行治疗。作者认为，这种关联在该年龄组中此前尚未有过报道。
