Khalid Faraz, Naveed Haris, Ali Masab, Ansari Muhammad Saad, Shafiq Muhammad Sajjad, Ahmad Muhammad Husnain
Department of Surgery, Punjab Medical College, Faisalabad, Punjab, Pakistan.
Department of Medicine, Tentishev Satkynbai Memorial Asian Medical Institute, Gagarina, Kant, Kyrgyzstan.
Ann Med Surg (Lond). 2025 Jan 9;87(1):421-424. doi: 10.1097/MS9.0000000000002880. eCollection 2025 Jan.
Tailgut cysts, or retro-rectal cystic hamartomas, are rare congenital lesions arising from embryonic hindgut remnants, typically located in the retro-rectal area. These cysts present some diagnostic challenges due to vague symptoms and potential for malignancy.
A 25-year-old female presented with a 5-year history of perianal swelling. MRI revealed a T2 hyperintense, multiseptated cystic lesion suggestive of a tailgut cyst. The cyst was surgically excised via a trans-sacral approach, and the specimen was sent for histopathological analysis.
The MRI findings were confirmed by histopathology, identifying a benign tailgut cyst. The patient had an uneventful recovery and was symptom-free at the 2-month follow-up.
Tailgut cysts can mimic other perianal masses, complicating diagnosis. Accurate diagnosis and successful treatment rely on clinical vigilance, advanced imaging, and histopathological confirmation. Early surgical resection is crucial to prevent complications, including malignancy.
尾肠囊肿，即直肠后囊性错构瘤，是一种罕见的先天性病变，由胚胎后肠残余组织形成，通常位于直肠后区域。由于症状不明确以及存在恶变可能，这些囊肿带来了一些诊断挑战。
一名25岁女性有5年肛周肿胀病史。磁共振成像（MRI）显示一个T2高信号、多分隔的囊性病变，提示为尾肠囊肿。通过经骶骨入路手术切除该囊肿，并将标本送去做组织病理学分析。
组织病理学证实了MRI检查结果，确定为良性尾肠囊肿。患者恢复顺利，在2个月的随访中无症状。
尾肠囊肿可类似其他肛周肿物，使诊断复杂化。准确诊断和成功治疗依赖于临床警惕性、先进的影像学检查以及组织病理学确认。早期手术切除对于预防包括恶变在内的并发症至关重要。
