Unusual prerectal location of a tailgut cyst: a case report.
Tailgut cyst is a rare congenital cystic lesion arising from the remnants of the embryonic postanal gut. It occurs exclusively within the retrorectal space and rarely in the perirenal area or in the subcutaneous tissue. A prerectal and retrovesical location of tailgut cyst is extremely rare. To the best of our knowledge, only three cases have been reported in the English literature. We experienced an unusual case of tailgut cyst developed in the prerectal and retrovesical space in a 14-year-old boy. Abdominal computed tomography demonstrated a prerectal cyst which was located at the anterolateral portion to the rectum. The cyst contained yellowish inspissated mucoid material. Microscopically, the cyst was lined by squamous, columnar, cuboidal and transitional epithelia and the wall was fibrotic with dispersed smooth muscle cells. Although tailgut cyst arising in prerectal area is extremely rare, its possibility should be considered in differential diagnosis of a prerectal and retrovesical cystic mass.
Jang
Si-Hyong
SH
Department of Pathology, College of Medicine, Hanyang University, Seongdong-Gu, Seoul 133-792, Korea.
Jang
Ki-Seok
KS
Song
Young-Soo
YS
Min
Kyueng-Whan
KW
Han
Hong-Xiu
HX
Lee
Kyeong-Geun
KG
Paik
Seung-Sam
SS
D000293:Adolescent; D001004:Anus Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003560:Cysts; D006222:Hamartoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods