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Presacral mass in the setting of an ovarian cyst and abdominal pain
  1. Omar Gutierrez1,
  2. Huzifa Haj-Ibrahim2,
  3. Elzbieta Griffiths3,
  4. Jaisa Olasky3
  1. 1Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Department of General Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
  3. 3Department of General Surgery, Mount Auburn Hospital, Cambridge, Massachusetts, USA
  1. Correspondence to Omar Gutierrez, jose_gutierrez{at}


Tailgut cysts, also known as retrorectal hamartomas, are very rare neoplasms located in the presacral/retrorectal space that originate from the embryonic hindgut. Although a majority of lesions in this location are benign, 30% of the reported cases in the literature were found to be malignant. This report describes a case of a presacral mass found on CT of a 37-year-old woman who initially presented with worsening abdominal pain and a history of ovarian cyst rupture. This patient’s clinical picture was complicated by an enlarging ovarian cyst. The risk of progression to malignancy warranted excision. She recovered well with resolution of her presenting symptoms. We report this case along with a brief review of the literature with a focus on the surgical considerations.

  • Surgery
  • General Surgery

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  • Contributors OG, H-HI and JO all made substantial contributions to the conception of the work. OG drafted the work and was revised critically for important intellectual content by H-HI, EG and J-O. All authors had final approval of the version to be published and were in agreement to be accountable for all aspects of the work.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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