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Retrorektal Epidermal Kist: Dört Olgunun Sunumu ve Literatürün Gözden Geçirilmesi

Retrorectal epidermal cyst: report of four cases and review of the literature

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objectives: Lesions occuring in the retrorectal space are rare and are derived from a variety of embryologic origins. Retrorectal cysts are one of the groups of these lesions. In this study, we presented four patients who had developmental retrorectal cysts and we also reviewed the literature. Methods: Patients who underwent surgical intervention for retrorectal cysts were included in this study. Medical records, results of digital and proctoscopic examination, endorectal ultrasonography, computarized tomography, magnetic resonance imaging and histopathological reports were reviewed retrospectively. Results: Four female patients underwent surgical resection of their retrorectal cysts. All of them were complaining of sense of fullness in the rectum, tenesmus, and dyspareunia. The posterior perineal route was used in all four patients. Mean postoperative stay was 7 (6-8) days. Mean follow-up time was 7 (3-13) years. Histopathological examination of resected specimens revealed epidermal cyst. All patients were discharged without any problem and during long term follow up, no recurrence or discomfort was encountered. Conclusion: Various imaging modalities have been used for the diagnosis and surgical treatment planning of retrorectal epidermoid cysts. We recommend complete surgical resection of these benign lesions.
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Abstract (Original Language): 
Amaç: Retrorektal bölgede görülen lezyonlar nadir ve embriyolojik kökenlidir. Retrorektal kistler bu lezyonlardan biridir. Bu çalışmada retrorektal kisti olan dört olguyu sunduk ve literatürü gözden geçirdik. Yöntem: Çalışmaya retrorektal kist nedeni ile ameliyat edilen hastalar dahil edildi. Tıbbi müşahedeler, rektal muayene, rektoskopi, endorektal ultrasonografi, bilgisayarlı tomografi, magnetik rezonans görüntüleme, hispatolojik sonuçlar retrospektif olarak değerlendirildi. Bulgular: Retrorektal kist nedeni ile dört bayan hasta ameliyat edildi. Hastaların hepsinde rektumda doluluk hissi, tenesmus, ve disparoni mevcuttu. Hepsi posterior yaklaşımla tedavi edildi. Ameliyat sonrası hastanede kalış süresi ortalama 7 (6-8) gün, ortalama takip süresi 7 (3- 13) yıldı. Histopatolojik sonuçlar epidermal kist ile uyumlu idi. Hastaların hepsi sorunsuz taburcu edildi ve uzun dönem takiplerinde nüks rastlanmadı. Sonuç: Retrorektal epidermoid kistlerin tanı ve cerrahi tedavi planlamasında birçok görüntüleme yöntemi kullanılmaktadır. Selim olan bu lezyonların cerrahi olarak tamamen çıkarılmasını öneriyoruz.
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  • 3
97-102
  • Turkish

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