Malignant Retro Rectal Tumor: Two Compelling Case Reports
Dabbagh M, El mouhib S, El Azzaoui I, Maazouz A, Lamghari M, Najih M, EL Kaoui H, Bouchentouf SM, Bounaim A, Moujahid M
Asian Journal of Case Reports in Surgery · pp. 569–574 · Published 24 Dec 2024
10.9734/ajcrs/2024/v7i2587Abstract
Background: Retrorectal tumors are a challenging pathology in terms of diagnosis and surgical management. They are usually asymptomatic and present a variety of histopathological presentations. Case Presentation: We report two cases of malignant presacral tumors, a leiomyosarcoma, and a hemangiopericytoma. An asymptomatic rectal mass was discovered during a routine rectal digital examination in a 45-year-old male with a history of anal fistula. After an imaging confirmation, a complete surgical resection was conducted and pathological analysis revealed a leiomyosarcoma. The second patient was a 42-year-old female admitted with a 2-year history of persistent right buttock and low back pain, imaging detected a presacral tumor extending to S1 and S2 that was completely resected and followed with radiotherapy. Conclusion: Our cases highlight Malignant retrorectal tumors' rarity, diagnostic challenge, and surgical management.
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