Malignant Retro Rectal Tumor: Two Compelling Case Reports
Dabbagh M *
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
El mouhib S
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
El Azzaoui I
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Maazouz A
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Lamghari M
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Najih M
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
EL Kaoui H
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Bouchentouf SM
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Bounaim A
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
Moujahid M
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco and Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Background: Retrorectal tumors are a challenging pathology in terms of diagnosis and surgical management. They are usually asymptomatic and present a variety of histopathological presentations.
Case Presentation: We report two cases of malignant presacral tumors, a leiomyosarcoma, and a hemangiopericytoma. An asymptomatic rectal mass was discovered during a routine rectal digital examination in a 45-year-old male with a history of anal fistula. After an imaging confirmation, a complete surgical resection was conducted and pathological analysis revealed a leiomyosarcoma. The second patient was a 42-year-old female admitted with a 2-year history of persistent right buttock and low back pain, imaging detected a presacral tumor extending to S1 and S2 that was completely resected and followed with radiotherapy.
Conclusion: Our cases highlight Malignant retrorectal tumors' rarity, diagnostic challenge, and surgical management.
Keywords: Retrorectal, presacral, tumor, leiomyosarcoma, hemangiopericytoma, MRI