Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature

BMC Research Notes

Khalid Sair²  Mohammed Elfahssi²  Ahmed bounaim²  Abdelmounaim Ait Ali²  Mohamed Reda Khmamouche¹  Abdelhak Bensal²  Moulay Brahim Ratbi²  Aziz Zentar²  Mohamed Tarchouli² 

[1] Department of Oncology, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco;Department of Digestive Surgery, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco

关键词: Perineal approach;    Surgical management;    Retro-rectal tumor;   

Others  :  1230046
DOI  :  10.1186/s13104-015-1457-5

 received in 2015-03-30, accepted in 2015-09-17,  发布年份 2015

【 摘 要 】

Background

Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management.

Case presentation

We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis.

Conclusion

Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery.

【 授权许可】

   
2015 Tarchouli et al.

【 图 表 】

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