Browse > Article
http://dx.doi.org/10.13104/imri.2019.23.4.283

Perirectal Cystic Lesions - Comprehensive CT and MRI Findings  

Kim, Ji Hoon (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Jong Seok (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Kim, Ah Young (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Park, Seong Ho (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Kim, Hyun Jin (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Jang, Jong Keon (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Investigative Magnetic Resonance Imaging / v.23, no.4, 2019 , pp. 283-295 More about this Journal
Abstract
Perirectal cystic lesions are rare entities, for which only a relatively few research publications are available. These lesions are heterogeneous in nature and can range from benign lesions to malignant lesions; thus, they are sometimes difficult to differentiate. Some studies have reported on retrorectal or presacral cystic lesions, but to our knowledge, there have been only a few reports on perirectal cystic lesions. Cystic lesions arise from the retrorectal space as well as the rectal lumen or adjacent organ, and they should be differentiated based on their characteristics and anatomic location. Thus, we comprehensively studied diseases with a cystic component around the rectum, which are perirectal cystic lesions. A clinical challenge with perirectal cystic lesions is that it is sometimes difficult to distinguish malignant lesions from benign lesions and is thus difficult to determine the extent for surgical excision. We thus attempted to identify benign and malignant imaging features of perirectal cystic lesions.
Keywords
Abdomen; Rectum; Cyst; Cancer; Computed tomography; Magnetic resonance imaging;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Jiang ZX, Zhang SJ, Peng WJ, Yu BH. Rectal gastrointestinal stromal tumors: imaging features with clinical and pathological correlation. World J Gastroenterol 2013;19:3108-3116   DOI
2 Hong X, Choi H, Loyer EM, Benjamin RS, Trent JC, Charnsangavej C. Gastrointestinal stromal tumor: role of CT in diagnosis and in response evaluation and surveillance after treatment with imatinib. Radiographics 2006;26:481-495   DOI
3 Lee J, Park CM, Kim KA, et al. Cystic lesions of the gastrointestinal tract: multimodality imaging with pathologic correlations. Korean J Radiol 2010;11:457-468   DOI
4 Kumar N, Khosla D, Kumar R, Saikia UN, Singh S. Sacrococcygeal teratoma in adult: Two rare case reports and review of literature. Int J Appl Basic Med Res 2014;4:122-124   DOI
5 Purysko AS, Coppa CP, Kalady MF, et al. Benign and malignant tumors of the rectum and perirectal region. Abdom Imaging 2014;39:824-852   DOI
6 Yang DM, Park CH, Jin W, et al. Tailgut cyst: MRI evaluation. AJR Am J Roentgenol 2005;184:1519-1523   DOI
7 Llauger J, Palmer J, Perez C, Monill J, Ribe J, Moreno A. The normal and pathologic ischiorectal fossa at CT and MR imaging. Radiographics 1998;18:61-82; quiz 146   DOI
8 Guillaumin E, Jeffrey RB Jr, Shea WJ, Asling CW, Goldberg HI. Perirectal inflammatory disease: CT findings. Radiology 1986;161:153-157   DOI
9 Afuwape OO, Ogundoyin OO, Ogunlana DI, Adeleye AO. Adult sacrococcygeal teratoma: a case report. Ghana Med J 2009;43:40-42
10 Alvi MI, Mubarak F, Khandwala K, Barakzai MD, Memon A. A rare case of presacral epidermoid cyst in an adult male: Emphasis on diffusion weighted magnetic resonance sequences in preoperative imaging. Cureus 2018;10:e2050
11 Kesici U, Sakman G, Mataraci E. Retrorectal/Presacral epidermoid cyst: report of a case. Eurasian J Med 2013;45:207-210   DOI
12 Dahan H, Arrive L, Wendum D, Docou le Pointe H, Djouhri H, Tubiana JM. Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 2001;21:575-584   DOI
13 Lang FF, Macdonald OK, Fuller GN, DeMonte F. Primary extradural meningiomas: a report on nine cases and review of the literature from the era of computerized tomography scanning. J Neurosurg 2000;93:940-950   DOI
14 Dhawan V, Mohamed A, Fedorak RN. Gastric intramural hematoma: a case report and literature review. Can J Gastroenterol 2009;23:19-22   DOI
15 Sztarkier I, Benharroch D, Walfisch S, Delgado J. Colitis cystica profunda and solitary rectal ulcer syndromepolypoid variant: Two confusing clinical conditions. Eur J Intern Med 2006;17:578-579   DOI
16 Inan N, Arslan AS, Akansel G, Anik Y, Gurbuz Y, Tugay M. Colitis cystica profunda: MRI appearance. Abdom Imaging 2007;32:239-242   DOI
17 Kyalakond K, Saini S, Rajagopal K, Karegowda LH. Radiological appearance of primary extracranial meningioma of the pelvis in a middle-aged woman. BMJ Case Rep 2018;2018
18 Taori K, Kundaragi NG, Disawal A, et al. Imaging features of extra cranial parapharyngeal space meningioma: case report. Iran J Radiol 2011;8:176-181   DOI
19 O'Malley CM, Remer EM, Delaney C. Imaging of the presacral space. Semin Colon Rectal Surg 2004;15:2-11   DOI
20 Dwarkasing RS, Verschuuren SI, van Leenders G, Braun LMM, Krestin GP, Schouten WR. Primary cystic lesions of the retrorectal space: MRI evaluation and clinical assessment. AJR Am J Roentgenol 2017;209:790-796   DOI
21 Battal B, Kocaoglu M, Ors F, Akgun V, Tasar M. Obstructive rectal intramural hematoma caused by a foreign body. Emerg Radiol 2009;16:75-77   DOI
22 Lee NK, Kim S, Kim HS, et al. Spectrum of mucin-producing neoplastic conditions of the abdomen and pelvis: crosssectional imaging evaluation. World J Gastroenterol 2011;17:4757-4771   DOI
23 Rullier A, Laurent C, Vendrely V, Le Bail B, Bioulac-Sage P, Rullier E. Impact of colloid response on survival after preoperative radiotherapy in locally advanced rectal carcinoma. Am J Surg Pathol 2005;29:602-606   DOI
24 Hanski C. Is mucinous carcinoma of the colorectum a distinct genetic entity? Br J Cancer 1995;72:1350-1356   DOI
25 Sjodahl RI, Myrelid P, Soderholm JD. Anal and rectal cancer in Crohn's disease. Colorectal Dis 2003;5:490-495   DOI
26 Lim KE, Hsu WC, Wang CR. Tailgut cyst with malignancy: MR imaging findings. AJR Am J Roentgenol 1998;170:1488-1490   DOI
27 Au E, Anderson O, Morgan B, Alarcon L, George ML. Tailgut cysts: report of two cases. Int J Colorectal Dis 2009;24:345-350   DOI
28 Gonul, II, Baglan T, Pala I, Mentes B. Tailgut cysts: diagnostic challenge for both pathologists and clinicians. Int J Colorectal Dis 2007;22:1283-1285   DOI
29 Johnson AR, Ros PR, Hjermstad BM. Tailgut cyst: diagnosis with CT and sonography. AJR Am J Roentgenol 1986;147:1309-1311   DOI
30 Moulopoulos LA, Karvouni E, Kehagias D, Dimopoulos MA, Gouliamos A, Vlahos L. MR imaging of complex tail-gut cysts. Clin Radiol 1999;54:118-122   DOI
31 Kim JH, Lee TS, Oh HK, Choi YS. A case of mucinous adenocarcinoma arising from retroperitoneal teratoma treated with chemoradiation. J Gynecol Oncol 2009;20:126-128   DOI
32 Getz SB Jr, Ough YD, Patterson RB, Kovalcik PJ. Mucinous adenocarcinoma developing in chronic anal fistula: report of two cases and review of the literature. Dis Colon Rectum 1981;24:562-566   DOI
33 Heidenreich A, Collarini HA, Paladino AM, Fernandez JM, Calvo TO. Cancer in anal fistulas: report of two cases. Dis Colon Rectum 1966;9:371-376   DOI
34 Hama Y, Makita K, Yamana T, Dodanuki K. Mucinous adenocarcinoma arising from fistula in ano: MRI findings. AJR Am J Roentgenol 2006;187:517-521   DOI
35 Chang YL, Wu CT, Lee YC. Mediastinal and retroperitoneal teratoma with focal gastrointestinal adenocarcinoma. J Thorac Oncol 2006;1:729-731   DOI
36 Chhabra S, Wise S, Maloney-Patel N, Rezac C, Poplin E. Adenocarcinoma associated with tail gut cyst. J Gastrointest Oncol 2013;4:97-100   DOI