Diseases of the Colon & Rectum

, Volume 41, Issue 1, pp 103–110 | Cite as

Anal duct/gland cyst

Report of a case and review of the literature
  • Mahmoud N. Kulaylat
  • Ralph J. Doerr
  • Mike Neuwirth
  • Sateesh K. Satchidanand
Case Reports

Abstract

PURPOSE: The purpose of this communication is to report a case of anal duct/gland cyst and review cases of perianal and presacrococcygeal mucus-secreting cysts reported in the literature with emphasis on their histopathologic features. METHOD: Our patient presented with coccydynia. An extraluminal retrorectal tumor was felt on rectal examination. A computerized tomographic scan demonstrated a presacrococcygeal mass closely related to the anorectal junction. The tumor and the coccyx were excised using a posterior approach. Cases of perianal and presacroccygeal mucus-secreting cysts reported in the literature were reviewed. RESULTS: In our case, the tumor proved to be an anal duct/gland cyst. Some of the reported cases of presacrococcygeal glandular cysts had histopathologic features suggestive of anal duct/gland origin. CONCLUSION: Diagnosis of anal duct/gland cyst is based on routine histologic features, histochemical characteristics of mucus, and/or the presence of a communication with an anal duct or crypt. Based on these criteria, some of the reported cases of mucus-secreting cysts occurring around the anorectum may prove to be anal duct/gland in origin.

Key words

Anal duct/gland Mucus-secreting cyst Presacrococcygeal cyst Developmental cyst 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Galletly A. Presacral tumors of congenital origin. J R Soc Med 1924;17:105–22.Google Scholar
  2. 2.
    Whittaker LD, Pemberton JD. Tumors ventral to the sacrum. Ann Surg 1938;107:96–106.Google Scholar
  3. 3.
    Guis JA, Stout AP. Perianal cysts of vestigeal origin. Arch Surg 1938;37:268–87.Google Scholar
  4. 4.
    Ross ST. Sacral and presacral tumors. Am J Surg 1948;115:449–52.Google Scholar
  5. 5.
    Jackman RJ, Clark PL III, Smith ND. Retrorectal tumors. J A M A 1951;14:952–6.Google Scholar
  6. 6.
    Hanley PH, Hines MO. Presacral epidermoid cyst. Am Surg 1955;21:898–908.Google Scholar
  7. 7.
    McColl I. The classification of presacral cysts and tumors. J R Soc Med 1963;56:797–8.Google Scholar
  8. 8.
    Uhlig BE, Johnson RL. Presacral tumors and cysts in adults. Dis Colon Rectum 1975;18:581–96.Google Scholar
  9. 9.
    Jao S-W, Beart RW Jr, Spencer RJ, Reiman HM, Ilstrup DM. Retrorectal tumors: Mayo Clinic experience 1960–1979. Dis Colon Rectum 1985;28:644–52.Google Scholar
  10. 10.
    Dozios RR. Retrorectal tumors: spectrum of disease, diagnosis, and surgical management. Perspect Colon Rectal Surg 1990;3:241–55.Google Scholar
  11. 11.
    Christensen MA, Blachford GJ. Presacral tumors in adults. In: Beck DE, Wexner SD, eds. Fundamentals of anorectal surgery. New York: McGraw-Hill, 1992:386–401.Google Scholar
  12. 12.
    Spencer RJ, Jackman RJ. Surgical management of precoccygeal cysts. Surg Gynecol Obstet 1962;115:449–52.Google Scholar
  13. 13.
    Lovelady SB, Dockerty MB. Extragenital cysts and tumors in women. Am J Obstet Gynecol 1949;58:215–34.Google Scholar
  14. 14.
    McColl I. The comparative anatomy and pathology of anal glands. Ann R Coll Surg Engl 1967;40:36–67.Google Scholar
  15. 15.
    Thomason TH. Cysts and sinuses of the sacrococcygeal region. Ann Surg 1934;99:585–92.Google Scholar
  16. 16.
    Edwards M. Multilocular retrorectal cystic disease, cysthamartoma: report of twelve cases. Dis Colon Rectum 1961;4:103–10.Google Scholar
  17. 17.
    Shindo K. A mucocele in the anal canal. Am J Proctol 1972;23:235–9.Google Scholar
  18. 18.
    Yeomans FC. Perianal cysts: with report of a case of multilocular inclusion cyst of the perineum. Trans Am Proct Soc 1940;41:151–6.Google Scholar
  19. 19.
    Marco V, Autonell J, Farre J, Fernandez-Layos M, Doncel F. Retrorectal cyst-hamartomas: report of two cases with adenocarcinoma developing in one. Am J Surg Pathol 1982;6:707–14.Google Scholar
  20. 20.
    Campbell WL, Wolff M. Retrorectal cysts of developmental origin. Am J Roentgentol Radium Ther Nucl Med 1973;117:307–13.Google Scholar
  21. 21.
    Aaronson I. Anterior sacral meningocele, anal canal duplication cyst and covered anus occurring in one family. J Pediatr Surg 1970;5:559–63.Google Scholar
  22. 22.
    Lahey FH, Eckerson EB. Presacral dermoids. Am J Surg 1934;13:30–5.Google Scholar
  23. 23.
    Johnson FP. The development of the rectum in the human embryo. Am J Anat 1914;16:1–57.Google Scholar
  24. 24.
    Peyron A. Les vestiges embryonnaires de la region sacrococcygienne et leur role dans la production des kystes ou lumeurs d'origine congenitale. Bull Assoc Fr Etud Cancer 1928;17:613–32.Google Scholar
  25. 25.
    Shafik A. A new concept of the anatomy of the anal sphincter mechanism and the physiology of defecation. X. Anorectal sinus and band: anatomic nature and surgical significance. Dis Colon Rectum 1980;23:170–9.Google Scholar
  26. 26.
    Hill MR, Shryock EH, ReBell FG. Role of the anal glands in the pathogenesis of anorectal disease. J A M A 1943;121:742–6.Google Scholar
  27. 27.
    Chiari H. Uber die Nalen Divertikel der Rectumschleimhaut und Ihre Beziehung zu den Anal Fisteln. Wien Med Press 1878;19:1576–8.Google Scholar
  28. 28.
    Morgan C. Surgical anatomy of the anal canal and rectum. Postgrad Med J 1936;12:287–300.Google Scholar
  29. 29.
    Kratzer GL, Dockerty MB. Histopathology of the anal ducts. Surg Gynecol Obstet 1947;84:333–8.Google Scholar
  30. 30.
    Parks AG. Modern concepts of the anatomy of the anal gland region. Postgrad Med J 1958;34:360–6.Google Scholar
  31. 31.
    Fenger C, Filipe MI. Pathology of the anal glands with special reference to their mucin histochemistry. Acta Pathol Microbiol Scand 1977;85:273–85.Google Scholar
  32. 32.
    Close AS, Schwab RL. A history of the anal ducts and anal-duct carcinoma: report of a case. Cancer 1955;8:979–85.Google Scholar
  33. 33.
    Ewing J. Neoplastic diseases. Philadelphia: WB Saunders, 1934:1030.Google Scholar
  34. 34.
    Bland-Sutton J. Tumors, innocent and malignant. London: Cassell, 1922:516–20.Google Scholar
  35. 35.
    Robertson FN, Wride GE. A case of persistent cyst of the post-anal gut origin in an adult. Can Med Assoc J 1934;31:535–7.Google Scholar
  36. 36.
    Hjermstad BM, Helwig EB. Tailgut cysts: report of 53 cases. Am J Clin Pathol 1988;89:139–47.Google Scholar
  37. 37.
    Hullsiek HE. Enterogenous cysts of the rectum. Minn Med 1943;26:1008–9.Google Scholar
  38. 38.
    McLanahan S, Stone HB. Enterogenous cysts. Surg Gynecol Obstet 1934;58:1027–9.Google Scholar
  39. 39.
    Evans A. Developmental enterogenous cysts and diverticula. Br J Surg 1929;17:34–83.Google Scholar
  40. 40.
    Arakawa J, Arakawa K. Perianal cysts related to anal ducts. Dis Colon Rectum 1965;8:67–72.Google Scholar
  41. 41.
    Gordon-Watson, Sir C. Dodd H. Observations on fistula-in-ano in relation to perianal intramuscular glands with reports of three cases. Br J Surg 1935;22:703–9.Google Scholar
  42. 42.
    Gabriel WB. Congenital fistulae in connection with the anal canal. In: The principles and practice of rectal surgery. Springfield: Charles C. Thomas, 1948:233–4.Google Scholar
  43. 43.
    Willis RA. The borderland of embryology and pathology. London: Butterworths, 1958.Google Scholar
  44. 44.
    Wagner M, Zastrow R, Reasa DA. Presacral tumors: case report, review of the literature. Clin Anat 1995;8:227–30.Google Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1998

Authors and Affiliations

  • Mahmoud N. Kulaylat
    • 1
  • Ralph J. Doerr
    • 1
  • Mike Neuwirth
    • 1
  • Sateesh K. Satchidanand
    • 2
  1. 1.From the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Department of SurgeryBuffalo General HospitalBuffalo
  2. 2.From the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Department of PathologyBuffalo General HospitalBuffalo

Personalised recommendations