Journal of Robotic Surgery

, Volume 12, Issue 2, pp 365–367 | Cite as

A giant pararectal cyst successfully treated by robotic surgery

  • Abdullah Erdem CandaEmail author
  • Erem Asil
  • Murat Keske
  • Fevzi Bedir
  • Ali Fuat Atmaca
Case Report


A 50 year-old patient was referred to our department with severe obstructive lower urinary tract symptoms, suprapubic pain and rectal fullness that started after a perianal fistula operation performed one year ago. Radiologic evaluation showed a large pararectal cystic lesion with septa formation on the right side compressing the bladder and prostate. Aspiration of the cystic fluid attempted initially but was not successful. A robotic transperitoneal approach was applied and the cyst was excised completely. On 1-year follow-up, patient did not have any symptoms and cyst was completely disappeared on radiology.


Pararectal cyst Robotic surgery Transperitoneal approach 


Compliance with ethical standards

Conflict of interest

Dr. Abdullah Erdem Canda declares that he has no conflict of interest. Dr. Erem Asil declares that he has no conflict of interest. Dr. Murat Keske declares that he has no conflict of interest. Dr. Fevzi Bedir declares that he has no conflict of interest. Dr. Ali Fuat Atmaca declares that he has no conflict of interest.

Ethical approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Informed consent

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


  1. 1.
    Madersbacher S, Alivizatos G, Nordling J, Sanz CR, Emberton M, de la Rosette JJ (2004) EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines). Eur Urol 46(5):547–54CrossRefPubMedGoogle Scholar
  2. 2.
    Grandjean JP, Mantion GA (2008) Vestigial retrorectal cystic tumors in adults: a review of 30 cases. Gastroenterol Clin Biol 32(8–9):769–778. doi: 10.1016/j.gcb.2008.03.011 (epub 15 May 2008) CrossRefPubMedGoogle Scholar
  3. 3.
    Dahan H, Arrivé L, Wendum D, Docou le Pointe H, Djouhri H, Tubiana JM (2001) Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 21(3):575–584CrossRefPubMedGoogle Scholar
  4. 4.
    Hobson KG, Ghaemmaghami V, Roe JP, Goodnight JE, Khatri VP (2005) Tumors of the retrorectal space. Dis Colon Rectum 48(10):1964–1974CrossRefPubMedGoogle Scholar
  5. 5.
    Canda AE, Atmaca AF, Akbulut Z, Asil E, Kilic M, Isgoren AE, Balbay MD (2012) Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience. Turk J Med Sci 42(1):1338–1346Google Scholar
  6. 6.
    Bullard Dunn K (2010) Retrorectal tumors. Surg Clin North Am 90(1):163–171CrossRefGoogle Scholar
  7. 7.
    Au E, Anderson O, Morgan B et al (2009) Tailgut cysts: report of two cases. Int J Colorectal Dis 24(3):345–350CrossRefPubMedGoogle Scholar
  8. 8.
    Rathinamanickam H, Pawa S (2015) A tailgut cyst diagnosed by endoscopic ultrasound-guided fine-needle aspiration. ACG Case Rep J 3(1):33–35. doi: 10.14309/crj.2015.93 (eCollection 2015) CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Jang SH, Jang KS, Song YS, Min KW, Han HX, Lee KG, Paik SS (2006) Unusual prerectal location of a tailgut cyst: a case report. World J Gastroenterol 12(31):5081–5083CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Sarkar S, Sanyal P, Das MK, Kumar S, Panja S (2016) Acute urinary retention due to primary pelvic hydatid cyst: a rare case report and literature review. J Clin Diagn Res 10(4):PD06-8. doi: 10.7860/JCDR/2016/17831.7550 (epub 1 Apr 2016) PubMedCrossRefGoogle Scholar
  11. 11.
    Morelli L, Tassinari D, Rosati CM, Palmeri M, Boggi U, Mosca F (2012) Robot assisted excision of a huge pararectal dermoid cyst via a totally transabdominal route. J Minim Invasive Gynecol 19(6):772–774. doi: 10.1016/j.jmig.2012.06.008 CrossRefPubMedGoogle Scholar
  12. 12.
    Palanivelu C, Patil KP, Srikanth B, Rajapandian S, Praveenraj P (2015) Laparoscopic assisted management of a pararectal tail gut cyst. Indian J Surg 77(Suppl 3):1415–1416. doi: 10.1007/s12262-014-1174-7 (epub 23 Sep 2014) CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2017

Authors and Affiliations

  • Abdullah Erdem Canda
    • 1
    Email author
  • Erem Asil
    • 2
  • Murat Keske
    • 2
  • Fevzi Bedir
    • 3
  • Ali Fuat Atmaca
    • 1
  1. 1.Department of Urology, School of Medicine, Ankara Ataturk Training and Research HospitalYildirim Beyazit UniversityAnkaraTurkey
  2. 2.Department of UrologyAnkara Ataturk Training and Research HospitalAnkaraTurkey
  3. 3.Department of UrologyErzurum Training and Research HospitalErzurumTurkey

Personalised recommendations