Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature

Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case pr...
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Autor*in:	Tarchouli, Mohamed [verfasserIn] Zentar, Aziz Ratbi, Moulay Brahim Bensal, Abdelhak Khmamouche, Mohamed Reda Ali, Abdelmounaim Ait bounaim, Ahmed Elfahssi, Mohammed Sair, Khalid

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Retro-rectal tumor Surgical management Perineal approach

Anmerkung:	© Tarchouli et al. 2015

Übergeordnetes Werk:	Enthalten in: BMC Research Notes - London, 2008, 8(2015), 1 vom: 24. Sept.
Übergeordnetes Werk:	volume:8 ; year:2015 ; number:1 ; day:24 ; month:09

Links:	Volltext

DOI / URN:	10.1186/s13104-015-1457-5

Katalog-ID:	SPR030309212

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520			\|a Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery.
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allfields	10.1186/s13104-015-1457-5 doi (DE-627)SPR030309212 (SPR)s13104-015-1457-5-e DE-627 ger DE-627 rakwb eng Tarchouli, Mohamed verfasserin aut Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Tarchouli et al. 2015 Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213 Zentar, Aziz aut Ratbi, Moulay Brahim aut Bensal, Abdelhak aut Khmamouche, Mohamed Reda aut Ali, Abdelmounaim Ait aut bounaim, Ahmed aut Elfahssi, Mohammed aut Sair, Khalid aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 24. Sept. (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:24 month:09 https://dx.doi.org/10.1186/s13104-015-1457-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 24 09
spelling	10.1186/s13104-015-1457-5 doi (DE-627)SPR030309212 (SPR)s13104-015-1457-5-e DE-627 ger DE-627 rakwb eng Tarchouli, Mohamed verfasserin aut Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Tarchouli et al. 2015 Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213 Zentar, Aziz aut Ratbi, Moulay Brahim aut Bensal, Abdelhak aut Khmamouche, Mohamed Reda aut Ali, Abdelmounaim Ait aut bounaim, Ahmed aut Elfahssi, Mohammed aut Sair, Khalid aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 24. Sept. (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:24 month:09 https://dx.doi.org/10.1186/s13104-015-1457-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 24 09
allfields_unstemmed	10.1186/s13104-015-1457-5 doi (DE-627)SPR030309212 (SPR)s13104-015-1457-5-e DE-627 ger DE-627 rakwb eng Tarchouli, Mohamed verfasserin aut Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Tarchouli et al. 2015 Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213 Zentar, Aziz aut Ratbi, Moulay Brahim aut Bensal, Abdelhak aut Khmamouche, Mohamed Reda aut Ali, Abdelmounaim Ait aut bounaim, Ahmed aut Elfahssi, Mohammed aut Sair, Khalid aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 24. Sept. (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:24 month:09 https://dx.doi.org/10.1186/s13104-015-1457-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 24 09
allfieldsGer	10.1186/s13104-015-1457-5 doi (DE-627)SPR030309212 (SPR)s13104-015-1457-5-e DE-627 ger DE-627 rakwb eng Tarchouli, Mohamed verfasserin aut Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Tarchouli et al. 2015 Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213 Zentar, Aziz aut Ratbi, Moulay Brahim aut Bensal, Abdelhak aut Khmamouche, Mohamed Reda aut Ali, Abdelmounaim Ait aut bounaim, Ahmed aut Elfahssi, Mohammed aut Sair, Khalid aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 24. Sept. (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:24 month:09 https://dx.doi.org/10.1186/s13104-015-1457-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 24 09
allfieldsSound	10.1186/s13104-015-1457-5 doi (DE-627)SPR030309212 (SPR)s13104-015-1457-5-e DE-627 ger DE-627 rakwb eng Tarchouli, Mohamed verfasserin aut Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Tarchouli et al. 2015 Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213 Zentar, Aziz aut Ratbi, Moulay Brahim aut Bensal, Abdelhak aut Khmamouche, Mohamed Reda aut Ali, Abdelmounaim Ait aut bounaim, Ahmed aut Elfahssi, Mohammed aut Sair, Khalid aut Enthalten in BMC Research Notes London, 2008 8(2015), 1 vom: 24. Sept. (DE-627)559431805 (DE-600)2413336-X 1756-0500 nnns volume:8 year:2015 number:1 day:24 month:09 https://dx.doi.org/10.1186/s13104-015-1457-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2015 1 24 09
language	English
source	Enthalten in BMC Research Notes 8(2015), 1 vom: 24. Sept. volume:8 year:2015 number:1 day:24 month:09
sourceStr	Enthalten in BMC Research Notes 8(2015), 1 vom: 24. Sept. volume:8 year:2015 number:1 day:24 month:09
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Retro-rectal tumor Surgical management Perineal approach
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container_title	BMC Research Notes
authorswithroles_txt_mv	Tarchouli, Mohamed @@aut@@ Zentar, Aziz @@aut@@ Ratbi, Moulay Brahim @@aut@@ Bensal, Abdelhak @@aut@@ Khmamouche, Mohamed Reda @@aut@@ Ali, Abdelmounaim Ait @@aut@@ bounaim, Ahmed @@aut@@ Elfahssi, Mohammed @@aut@@ Sair, Khalid @@aut@@
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author	Tarchouli, Mohamed
spellingShingle	Tarchouli, Mohamed misc Retro-rectal tumor misc Surgical management misc Perineal approach Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
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topic_title	Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature Retro-rectal tumor (dpeaa)DE-He213 Surgical management (dpeaa)DE-He213 Perineal approach (dpeaa)DE-He213
topic	misc Retro-rectal tumor misc Surgical management misc Perineal approach
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title	Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
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title_full	Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
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author_browse	Tarchouli, Mohamed Zentar, Aziz Ratbi, Moulay Brahim Bensal, Abdelhak Khmamouche, Mohamed Reda Ali, Abdelmounaim Ait bounaim, Ahmed Elfahssi, Mohammed Sair, Khalid
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title_sort	perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
title_auth	Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
abstract	Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. © Tarchouli et al. 2015
abstractGer	Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. © Tarchouli et al. 2015
abstract_unstemmed	Background Retrorectal tumors in adults are very rare and little known condition. These tumors, often misdiagnosed or mistreated, should be completely excised because of the potential for malignancy or infection. A suitable operative approach is the key to the successful surgical management. Case presentation We report the case of a 45-year-old Arab male who presented with chronic pelvic pain accompanied by straining to defecate and dysuria. The clinical examination showed a painless mass in the left perineal area. Pelvic magnetic resonance imaging and computed tomography scan demonstrated a huge and well-limited pelvic mass causing displacement and compression of the rectum and bladder. Although the large size of the mass (>7 cm in the greater diameter), it was successfully and completely excised through only perineal approach without undertaking coccygectomy or sacrectomy. The histopathological study revealed a low-grade leiomyosarcoma. The patient is currently in 4-years follow-up with no signs of recurrence or metastasis. Conclusion Even large retro-rectal tumors may be successfully excised by the perineal approach especially in carefully selected patients, but require extensive knowledge of pelvic anatomy and expertise in pelvic surgery. © Tarchouli et al. 2015
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title_short	Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature
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author2	Zentar, Aziz Ratbi, Moulay Brahim Bensal, Abdelhak Khmamouche, Mohamed Reda Ali, Abdelmounaim Ait bounaim, Ahmed Elfahssi, Mohammed Sair, Khalid
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Perineal approach for surgical treatment in a patient with retro-rectal tumor: a case report and review of the literature

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