Rectal duplication cyst in an adult: the laparoscopic approach.
BACKGROUND
Rectal duplication cyst (RDC) is a rare congenital anomaly representing 1% to 8% of all intestinal duplications. The case presented here is the first report of the laparoscopic resection of an RDC.


METHODS
We report the case of a 49-year-old white woman in whom a retrorectal cystic mass measuring 5 x 5.3 x 6 cm was diagnosed. The mass was completely resected by means of laparoscopic techniques.


RESULTS
Pathologic findings revealed a cystic structure partially lined with squamous as well as respiratory- and gastrointestinal-type epithelium. Muscularis propria was identified in the outer portions of the wall of the specimen. No atypia or malignancy was identified. The overall findings were consistent with an RDC.


CONCLUSIONS
Laparoscopic resection constitutes an excellent and patient-friendly approach to the management of large adult cystic duplication of the rectum.
Salameh
Jihad R
JR
Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Votanopoulos
Konstantinos I
KI
Hilal
Raouf E
RE
Essien
Francis A
FA
Williams
Michael D
MD
Barroso
Alberto O
AO
Sweeney
John F
JF
Brunicardi
F Charles
FC
D003560:Cysts / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D012002:Rectal Diseases / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000473:pathology