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Case report
Robotic resection of a multicystic tailgut cyst
  1. Susmit Prosun Roy1,2,
  2. Amirala Khalessi3 and
  3. Kim-Chi Phan-Thien4
  1. 1 Department of Medicine and Surgery, University of New South Wales – Randwick Campus, Randwick, New South Wales, Australia
  2. 2 Department of General Surgery, Saint George Hospital, Kogarah, New South Wales, Australia
  3. 3 Department of Surgery, Hurstville Private, Hurstville, New South Wales, Australia
  4. 4 Department of Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia
  1. Correspondence to Dr Susmit Prosun Roy, susmitprosunroy{at}


A 29-year-old woman with recurrent pelvic pain that progressed post partum was diagnosed with a multicystic pararectal lesion on ultrasound and CT scan. Physiology was conducted to establish a preoperative function and pudendal nerve integrity. The lesion was resected using a Da Vinci Xi robotic system. She recovered uneventfully with complete resolution of her symptoms. Hindgut cysts most often arise in the presacral space as the result of incomplete embryogenesis. Patients may present with various non-specific symptoms. Although the majority are benign, resection is recommended, as there is a 30%–43% risk of malignancy.

  • Surgery
  • Radiology
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  • Contributors All the authors contributed equally towards writing up of the case report. SPR: did literature search, collected consent, liaised with different teams and wrote the case report. AK: took images, modified them as per the journal regulations and oversaw the submission. K-CP-T: performed the surgery and supervised the whole process for writing this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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