40. Laparoscopic cystectomy in rectal duplication cyst for children: A case report

Tran Anh Quynh, Bui Van Lam, Le Hoang Long, Hoang Huu Kien, Pham Duy Hien, Le Thi Dung

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Abstract

Rectal duplication cysts are very rare congenital anomalies with poor, atypical clinical symptoms. Therefore, the diagnosis and treatment are still difficult. We report a case of Rectal duplication cysts in a 1-month-old male patient whose prenatal ultrasonography was unremarkable. The child was admitted to the hospital because he had not had a bowel movement for 10 days. Anal examination revealed a mass at the 9 o’clock position with the size of about 3cm, firm, smooth surface, and border pushed protruding rectal wall inward, causing the rectal lumen to narrow. On magnetic resonance imaging, a 3x4x5cm fluid cyst was found close to the posterior wall of the rectum, originating from the gastrointestinal tract. The patient was diagnosed with rectal duplication cysts and underwent laparoscopic surgery combined with transanal resection of the rectal duplication cysts. Follow-up 3 months after surgery showed that the patient was in good health, with normal bowel movements. Rectal duplication cyst is a rare disease with diverse and atypical clinical symptoms, requiring prompt diagnosis and treatment to avoid complications. Surgery is the definitive treatment.

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References

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