Journal of Universal Surgery

  • ISSN: 2254-6758
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Tumours of Retrorectal Space: A Rare Entity Scarcely Known by General Surgeons

Ana Maria Minaya Bravo, Enrique Ovejero Merino and Manual Diez Alonso

Neoplasms occurring in the retrorectal space are an uncommon condition with heterogeneous aetiology. Their incidence is estimated in the range 1: 40,000 to 1: 63,000 admissions. Consequently, most surgeons are not familiar with this condition and diagnosis is a challenge. Some authors have reported an increased incidence in female gender. According to Lovelady and Dockerty, they are classified into congenital (two-thirds), neurogenic, osseous and miscellaneous. Most of patients are asymptomatic and when symptoms appear they are non-specific and diffuse: back pain, constipation, infection, chronic perineal pain, dimpling of the skin, gynaecological complaints etc. An adequate diagnosis is crucial to reach a proper treatment. Computed tomography and magnetic resonance imagining are useful tools. Surgery is considered the gold standard treatment. Furthermore, a multidisciplinary approach is required. It must involve colorectal surgeons, radiologists, pathologists, neurologists and traumatologists. We report our experience in these lesions for a 10 year period in an attempt to reach conclusions about the management of this unusual entity.