A Case of Tailgut Cyst Successfully Resected with Laparoscopic Approach

Abstract

Tailgut Cyst is a rare lesion occurring in the retrorectal space. A complete resection is necessary for diagnosis and treatment without morbidity. Here we report a case of a Tailgut Cyst successfully resected using the laparoscopic approach. A 63-year-old woman presented to the orthopedic clinic with a complaint of right coxalgia and was referred to our department for treatment of a suspected Tailgut Cyst demonstrated on magnetic resonance imaging. Laparoscopic surgery was performed in the Trendelenburg position utilizing five ports. The mesorectum was mobilized at the level of the levator ani muscle. Upon confirmation, the tumor in the left posterior mesorectum was excised using laparoscopic coagulation shears for sharp dissection around the tumor. The pathological diagnosis was a Tailgut Cyst with no evidence of malignancy. Her postoperative course was uneventful and she had no signs of recurrence 6 months postoperatively. Thus, laparoscopic resection is a safe and feasible method for complete surgical resection of Tailgut Cyst.

Keywords

• tailgut cyst
• retrorectal hamartoma
• laparoscopic surgery