Author/Editor		Kolodziejczak, Malgorzata; Grochowicz, Maciej; Sudol-Szopinska, Iwona; Kosim, Anna; Stefanski, Robert
Title		Diagnostics and operative treatment of retrorectal cysts - description of five cases
Translated title		Diagnosticiranje in kirurško zdravljenje retrorektalnih cist - opis petih primerov
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 39, št. 3
Publication year		2005
Volume		str. 177-80
Language		eng
Abstract		Background. Retrorectal cysts (RC) are unusual lesions. Publications on RC are very rare and deseribe a few cases at most. Methods. Authors describe five patients with RC. The diagnosties of RC was based on the medical history of the patients and the basic diagnostic investigation was trans rectal ultrasonography. An operation to remove the cysts from perineal access was the treatment administered in these cases. Results. In three cases the histopathological examination showed cystis epidermalis. In another case a cyst epithelialized with ciliated epithelium was found. In the last case bone tissue, fatty tissue and fibrous tissue were depicted, all in the state of chronic inflammation. Conclusions. Per rectum digital exam is the basic examination decisive in making the diagnosis. TRUS should be employed as the diagnostic investigation in order to estimate precisely the size of a cyst and its proportion to the rectum wall. Retrorectal cystectomy in perineal access is an effective method of treatment af this disease. This article, likewise other research works, describes a small group of patients, therefore, its conclusions should be treated as preliminary ones.
Summary		Izhodišča. Retrorektalne ciste so redka bolezen, pravtako so redke objave, ki opisujejo to bolezen. Običajno poročajo le o nekaj primerih. Metode. Avtorji opisujejo 5 bolnikov, ki so jim diagnosticirali retrorektalne ciste. Bolezen so ugotovilili s pomočjo anamneze, kliničnega pregleda in transrektalnega ultrazvoka. Ciste so operativno perinealno odstranili. Rezultati. Pri treh bolnikih je bila histološka diagnoza epidermalna cista. Pri četrtem bolniku so ugotovili, da je bila cista epitelizirana z migetalčnim epitelijem, pri zadnjem pa so odkrili kostno, maščobno in vezivno tkivo kot del vnetnega stanja. Zaključki. Digitalni rektalni klinični pregled je osnovni pregled pri diagnosticiranju retrorektalne ciste. Transrektalni ultrazvok je potreben za bolj natačno opredelitev velikosti ciste in lege glede na steno rektuma. Perinealna retrorektalna cistektomija je učinkovita metoda pri zdravljenju te bolezni. Dosedanji objavljeni primeri bolezni pa so maloštevilni, zato so lahko zaključki le preliminarni.
Descriptors		RECTAL DISEASES CYSTS