Hyderabad: A 47-year old person was suffering from blockage of urine and at times motion was relieved from his problems at KIMS hospital, Kondapur after successful surgery. Dr. D.V. Ramakrishna, Surgical Gastroenterologist explained the case and the procedure.
3-month follow-up revealed a complete recovery
“The patient went to a hospital at Guntur of Andhra Pradesh, where he was repeatedly catheterized. But, as the problem was still persistent, he came to KIMS Hospital, Kondapur. After thorough investigations, he was found to have a large Cyst in the pelvis, which is blocking the urine and motion. On investigation, we came to know that it is a CONGENITAL problem. He had a TAIL GUT CYST of 7 cms x 4 cms size, which is occupying the whole pelvis and also disrupting the pelvic floor muscles on the left side with an extension of the cyst into the left thigh.
He was operated on in November 2021. The cyst was completely removed including that which extended into the thigh. A 3-month follow-up revealed a complete recovery with no loss of sexual, urinary, or bowel function.
Understanding Embryology and Anatomy is important
Tail Gut Cysts are very rare. They occur as a development defect during the formation of the anal canal in the 8th to 10th week of intrauterine life. Rarely do they present with such large size and so late in life too. The difficulty is in getting access to the cyst without damaging the pelvic nerves and muscles. Proper understanding of Embryology and Anatomy is important in dealing with these cases for a successful outcome” explained Dr. D.V. Rama Krishna, Surgical Gastroenterologist, KIMS hospital, Kondapur.