Barthod F, Hervé de Sigalony J P, Parc R
Service de Chirurgie Générale, Digestive et Vasculaire, Hôpital A.-Paré, Boulogne-Sur-Seine.
Ann Chir. 1996;50(10):906-12.
Primary retro-rectal cystic lesions of the adult are malignant or benign congenital lesions, with a female predominance. In this report, we present 3 cases and try to specify the embryologic origin of these lesions and propose an anatomopathological classification. The various diagnostic methods are studied. Because of infection and risk of malignancy, early complete excision is recommended. We suggest the use of a perineal retro-anorectal approach for low situated, small cysts.
成人原发性直肠后囊性病变为恶性或良性先天性病变,女性多见。在本报告中,我们呈现3例病例,并试图明确这些病变的胚胎学起源,提出一种解剖病理学分类。对各种诊断方法进行了研究。由于存在感染和恶变风险,建议早期完整切除。对于位置较低、体积较小的囊肿,我们建议采用会阴直肠后肛门入路。