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Rare presentation of rectal duplication cyst as perineal hernia in an adult
  1. Rahul Bhat,
  2. Rajat Ravindrakumar Choudhari,
  3. Shivananda Prabhu and
  4. Poornachandra Thejeswi
  1. Department of General Surgery, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
  1. Correspondence to Rajat Ravindrakumar Choudhari; rajatc10{at}


Rectal duplication cysts are rare congenital anomalies of the gastrointestinal tract. They can present with pain, gastrointestinal bleeding, infection or compressive symptoms on the rectum and urinary bladder. A 79-year-old man presented with a 8×5 cm swelling in the sacral region above the natal cleft with a positive cough impulse. During surgical exploration, there were two cysts with the posterior one presenting as the hernia. The cyst was excised and histopathological examination confirmed a diagnosis of rectal duplication cyst. Rectal duplications can lie anterior or more commonly posterior to the rectum. Differential diagnoses include dermoid cyst, diverticular cyst, sacrococcygeal teratoma or meningocele and endoscopic ultrasound is imaging of choice for diagnosis. Surgical excision is the treatment of choice. This is a rare presentation of a rectal duplication cyst as a perineal hernia with only a handful of cases in literature.

  • general surgery
  • gastrointestinal surgery

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  • Contributors RRC wrote the first draft of the article. PT and SP contributed to the case details writing. RRC and RB modified and wrote the final draft of the article. All authors proofread the final draft. All the authors were involved in patient care.

  • 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.

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