Shah Neel, Edelstein Peter
Medicine, University of Central Florida College of Medicine, Orlando, USA.
Colorectal Surgery, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2022 Mar 19;14(3):e23319. doi: 10.7759/cureus.23319. eCollection 2022 Mar.
Tailgut cysts, or retrorectal cystic hamartomas, are rare congenital abnormalities that develop when the embryologic tailgut fails to involute. They are found in the presacral space, which is an area with quite a complex anatomy. Tailgut cysts can be symptomatic due to their mass effect and can even result in complications, including malignancy. Because of their rarity and varied presentations, tailgut cysts are frequently misdiagnosed. CT scans and MRI are useful in the diagnosis of these retrorectal masses, and surgical resection is the definitive treatment. Multiple surgical approaches can be used, with the treatment tailored to suit each individual patient's anatomy and suspected lesion diagnosis.
尾肠囊肿,又称直肠后囊性错构瘤,是一种罕见的先天性异常疾病,由胚胎尾肠未能退化所致。它们位于骶前间隙,这是一个解剖结构相当复杂的区域。尾肠囊肿因其占位效应可能出现症状,甚至会引发包括恶变在内的并发症。由于其罕见性和表现多样,尾肠囊肿常常被误诊。CT扫描和MRI对诊断这些直肠后肿物很有用,手术切除是确定性治疗方法。可采用多种手术入路,治疗方案会根据每个患者的解剖结构和疑似病变诊断进行调整。