Duplication cyst of the gastrointestinal (GI) tract is a rare congenital anomaly, and rectal duplication cysts comprise a small fraction these cases. Most patients present for the first time in adulthood, and the origin of rectal duplication cysts is unclear. Prior series document malignant transformation in approximately 20 per cent of cases. The following case report describes a carcinoma arising in a rectal duplication cyst. Given the lack of data demonstrating adequate control for patients with adenocarcinoma arising in a rectal duplication cyst and our experience with this patient, we recommend all patients undergo multidisciplinary evaluation prior to any therapy.
Get full access to this article
View all access options for this article.
References
1.
FitzRH.Persistent omphalo-mesenteric remains; their importance in the causation of intestinal duplication, cyst formation, and obstruction.Am J Med Sci1884;80:30–57.
2.
GrossRE.The Surgery of Infants and Childhood.Philadelphia: WB Saunders, 1953, p. 221.
3.
WilkinsonDJ, WilkinsonKW, HajduN.Intestinal duplication: a report of two cases.Br J Radiol1973;46:1070–2.
4.
HockingM, YoungDG.Duplications of the alimentary tract.Br J Surg1981;68:92–6.
5.
DohnK, PovlsenO.Enterocystomas: report of six cases.Acta Chir Scand1951;102:21–35.
6.
RavitchMM.Duplications of the gastro-intestinal tract. In: WelchKJ (ed.), Pediatric Surgery, 4th Ed.Chicago-London: Yearbook Medical Publisher, 1986:911–20.
7.
GibsonT, EdwardsJ, ShafiqS.Carcinoma arising in a rectal duplication cyst.Br J Surg1986;73:377.
8.
MichaelD, CohenCRG, NorthoverJ.Adenocarcinoma within a rectal duplication cyst: case report and literature review.Ann R Coll Surg England1999;81:205–6.
9.
Graadt Van RoggenJF, WelvaartK, de RoosA. Adenocarcinoma arising within a tailgut cyst: clinicopathological description and follow up of an unusual case.J Clin Pathol1999;52:310–2.
DahanH, ArrivéL, WendumD.Retrorectal development cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment.Radiographics2001;21:575–84.
12.
SalamehJ, VotanopoulosK, HilalR, . Case report rectal duplication cyst in an adult: the laparoscopic approach.J Laparoendoscopic Adv Surg Tech2002;12:453–6.
13.
RamsewakW, MillwardS, ToiA, . CT guided percutaneous decompression of a rectal duplication cyst in a child.J Canadian Assn Radiol1986;37:46–7.
14.
ShivnaniAT, SmallWJr, StrykerSJ. Preoperative chemoradiation in rectal cancer: correlation of tumor response with survival.Proc 2004 GI Cancers Symposium Alexandria: American Society of Clinical Oncology, 2004, p 163.
15.
MinskyBD, CohenAM, EnkerWE, . Preoperative 5-FU, low-dose leucovorin, and radiation therapy for locally advanced and unresectable rectal cancer.Int J Radiat Oncol Biol Phys1997;37:289–95.
16.
Habr-GamaA, de SouzaRM, RibeiroUJr. Low rectal cancer: impact of radiation and chemotherapy on surgical treatment.Dis Colon Rectum1998;41:1087–96.
17.
HyamsD, MamounasE, PetrelliN, . A clinical trial to evaluate the worth of preoperative multimodality therapy in patients with operable carcinoma of the rectum.Dis Colon Rectum1997;40:131–9.
18.
BossetJF, MagninV, MaingonP, . Preoperative radio-chemotherapy in rectal cancer: long-term results of a phase II trial.Int J Radiat Oncol Biol Phys2000;46:323–7.
MarshRDW, ChuNM, VautheyJN, . Preoperative treatment of patients with locally advanced unresectable rectal adenocarcinoma utilizing continuous chronobiologically shaped 5-fluorouracil infusion and radiation therapy.Cancer1996;78: 217–25.
21.
SauerR.Adjuvant versus neoadjuvant combined modality treatment for locally advanced rectal cancer: first results of the German rectal cancer study (CAO/ARO/AIO-94). Abstract Final ID: 2, ASTRO 2004.
