Atypically located epidermoid cyst as a cause of proctalgia – a case report
Journal Title: Nowa Medycyna - Year 2015, Vol 22, Issue 4
Abstract
The most common causes of anal pain include inflammatory anal diseases, such asfissure, abscess, perianal thrombus or haemorrhoid complications in the form ofgrade 4 thrombosed haemorrhoids. The paper presents a female patient with analpain that persisted for many months and was ineffectively treated symptomaticallywith anti-inflammatory and analgesic medications. It was found that pain symptomswere caused by a presacral epidermoid cyst. The correct diagnosis was established onthe basis of an anorectal examination as well as with endosonography and magneticresonance imaging. These methods precisely specified the location of the cyst in relation to the rectal wall, which enabled its safe excision from the posterior approach.The patient was discharged in a good overall and local condition in the fifth day afterthe procedure. The follow-up examination conducted three months afterwards didnot show any recurrence, and the patient reported no pain symptoms.Conclusions. 1. In the case of a patient with chronic proctalgia, atypical causes mustbe taken into consideration. 2. Imaging examinations should be conducted prior tothe surgical procedure in order to optimise treatment outcomes.
Authors and Affiliations
Małgorzata Kołodziejczak, Wacław Warzecha, Iwona Sudoł-Szopińska
Keywords
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- EP ID EP77210
- DOI 10.5604/17312485.1193553
- Views 89
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