Summary
A new method of treating unexcisable epidermoid cysts of the presacral region is described. In the case reported the cyst was discovered on routine gynecologic examination. Exploration revealed a huge epidermoid cyst adherent to the bones of the pelvis. Because of the danger of jeopardizing the blood supply of the rectum and its integrity, a strip of omentum was prepared and introduced into the epithelial cavity. The postoperative course was uneventful. Two years after the operation the patient is symptom-free.
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References
Alday ES, Goldsmith HS: Surgical technique for omental lengthening based on arterial anatomy. Surg Gynecol Obstet 135:103, 1972
Allen AC: Skin, Pathology, Ed. 4. Edited by WA Anderson. St. Louis, C. V. Mosby, 1961, part 2, chapter 42, p 1205
Bonser GM, Raper FP, Shucksmith HS: Epidermoid cysts in the region of the rectum and anus: A report of four cases. Br J Surg 37:303, 1950
Chaimoff C, Dintsman M, Zer M: Omentopexy as a treatment of hydatid disease of the liver. Harefuah (in press)
Ewell GH, Jackson R: Infected presacral dermoid cyst with perforation of the vagina. South Surg 11:855, 1942
Hanley PH, Hines MO: Presacral epidermoid cyst. Am Surg 21: 898, 1955
Lahey FH, Eckerson EB: Presacral dermoids. Am J Surg 23:30, 1934
Lockhart-Mummery JP: Diseases of the Rectum and Anus: A Practical Handbook. London, Bailliére, Tindall and Cox, 1914, chapter 13, p 187
Lockhart-Mummery JP: Diseases of the Rectum and Colon and Their Surgical Treatment. Ed. 2. Baltimore, William Wood and Company, 1934, chapter 16, p 265
Loyarte HF: Omentoplastia intracavitaria en equinococosis hepatica. Prensa Med Argent 48:2997, 1961
Mather BS: Presacral dermoid cyst. Br J Surg 52:198, 1965
McColl I: The classification of presacral cysts and tumours. Proc R Soc Med 56:797, 1963
Papadimitriou J, Mandrekas A: The surgical treatment of hydatid disease of the liver. Br J Surg 57:431, 1970
Perkins BS, Chaffee JS: A presacral developmental cyst in a man: Report of a case. Dis Colon Rectum 14:464, 1971
Plewes JL, Jacobson I: Familial frontonasal dermoid cysts: Report of four cases. J Neurosurg 34:683, 1971
Theuerkauf FJ Jr, Hill JR, ReMine WH: Presacral developmental cysts in mother and daughter: Report of cases. Dis Colon Rectum 13:127, 1970
Zambouras DA, Karavas N: Operationstechnik: Operative Behandlung des Sacraldermoids durch eine neue modifizierte Marsupialisationsmethode. Chirurg 42:330, 1971
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Chaimoff, C., Dintsman, M. Omentopexy as treatment of a huge presacral epidermoid cyst: Report of a case. Dis Colon Rectum 17, 262–264 (1974). https://doi.org/10.1007/BF02588114
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DOI: https://doi.org/10.1007/BF02588114