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Retrorectal tumour simulating vaginal birth: an exceptional case of emergency surgery indication
  1. Eduardo Alvarez-Sarrado1,
  2. Salvador Pous-Serrano1,
  3. Omar Carreño Saenz1,
  4. Jose Pamies-Gilabert2
  1. 1Department Of General Surgery, Colorectal Unit, La Fe University Hospital, University of Valencia, Valencia, Spain
  2. 2Department of Radiology, La Fe University Hospital, University of Valencia, Valencia, Spain
  1. Correspondence to Eduardo Alvarez-Sarrado, eduardoalvarezsarrado{at}


Cystic retrorectal tumours are a very rare entity that pose a problem in differential diagnosis between congenital cyst and other lesions. We present a 49-year-old female patient presenting a perineal bulge which was discovered simulating a vaginal birth associated with prolapsed haemorrhoids grade IV. The interest of this case resides in the surgical indication of a big presacral cyst demonstrated via CT causing acute intense pain due to pelvic organ compression, as no emergent surgery management has been reported up to date.

  • gastrointestinal surgery
  • general surgery

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  • Contributors EA-S and SP-S equally contributed in data collection and article writing. OCS and JP-G contributed in data acquisition.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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