Adenocarcinoma arising in a rectal duplication cyst with distant metastasis

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Odysseas Mouzakis
George Korovesis
Phivos Georgiadis
Mara Piagou
Dimitrios Filippou
Panagiotis Skandalakis


INTRODUCTION: Rectal duplication cysts are rare cystic lesions, arising from the hindgut and classified as congenital/developmental tumors of the presacral space. Their clinical presentation is nonspecific, the diagnosis remains difficult and their management is aided by a multidisciplinary evaluation.


CASE REPORT: We report the case of a 55-year-old woman with a cystic mass located in the retrorectal space and identified incidentally on a CT scan. Following imaging studies, surgical resection by a posterior approach (Kraske procedure) was carried out and an adenocarcinoma arising in a duplication cyst of the rectum was present an uncommon case of a rectal duplication cyst with malignant transformation and distant metastasis, describe the clinical, radiologic and pathologic findings and discuss tidentified by microscopy.


CONCLUSION: We phe embryological basis of rectal duplication cysts and the surgical anatomy of the presacral space.

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How to Cite
Mouzakis, Odysseas, et al. “Adenocarcinoma Arising in a Rectal Duplication Cyst With Distant Metastasis”. Annali Italiani Di Chirurgia, vol. 7, no. April, Apr. 2018, pp. 1-4,
Case Report