Case Report: Tailgut cyst: diagnosis and treatment

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Introduction Tailgut cysts are the most frequently reported type of retrorectal tumor. Despite the large spectrum of revelations, preoperative diagnosis is misleading, as there are no prodromic features. Case presentation We report a case of an incidental finding of a tailgut cyst in a 34-year-old man following closed abdominal trauma. The patient underwent laparoscopic surgery with complete resection. We should describe the difficulties encountered in preoperative diagnosis and in the choice of therapeutic means. Discussion Biological and radiological features are nonspecific in nature. Because preoperative sampling carries additional risks, surgical resection is mostly indicated as a diagnostic and therapeutic tool. The surgical approach causes a dilemma and should be tailored to the tumor location, awaited risk of hemorrhage or extended resection, and surgeon’s expertise. Postoperative follow-up is essential because of the high risk of recurrence. Conclusion Surgical resection remains the standard treatment approach. However, the optimal surgical route is still a matter of debate, as each technique has its own advantages. Therefore, the choice of approach should be guided by the patient’s medical history, as well as the location and specific characteristics of the tumor Surgical resection was the standard therapeutic course. The surgical route is controversial, as each approach has its advantages. For this reason, the decision should include the patient’s history, tumor location, and characteristics according to the surgeon’s expertise. To gain the most from awaited surgical results, precise assessment of the patient’s case is mandatory.

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