{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:10:19Z","timestamp":1756275019157,"version":"3.44.0"},"reference-count":31,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,7]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Rectal duplications are rare congenital anomalies that represent 1%\u20136% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.<\/jats:p>","DOI":"10.1136\/bcr-2022-248791","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T12:32:49Z","timestamp":1647347569000},"page":"e248791","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge"],"prefix":"10.1136","volume":"15","author":[{"given":"Sofia","family":"Cavadas","sequence":"first","affiliation":[{"name":"General Surgery, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduarda","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Costa-Pereira","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquim","family":"Costa-Pereira","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"2025082622393335000_15.3.e248791.1","doi-asserted-by":"crossref","unstructured":"Arbuckle S . Potter\u2019s Pathology of the Fetus, Infant and Child. 2nd ed. Philadelphia: Mosby Elsevier, 2007.","DOI":"10.1080\/00313020801911579"},{"key":"2025082622393335000_15.3.e248791.2","doi-asserted-by":"crossref","first-page":"2970","DOI":"10.1177\/0300060518773016","article-title":"Tubular colonic duplication in an adult: case report and brief literature review","volume":"46","author":"Wu","year":"2018","journal-title":"J Int Med Res"},{"key":"2025082622393335000_15.3.e248791.3","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.13.5.8210590"},{"key":"2025082622393335000_15.3.e248791.4","doi-asserted-by":"publisher","DOI":"10.1016\/jpsu.2003.50197"},{"key":"2025082622393335000_15.3.e248791.5","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1007\/s13244-018-0660-z","article-title":"Enteric duplication cysts in children: varied presentations, varied imaging findings","volume":"9","author":"Sang\u00fcesa Nebot","year":"2018","journal-title":"Insights Imaging"},{"key":"2025082622393335000_15.3.e248791.6","doi-asserted-by":"crossref","first-page":"152","DOI":"10.4103\/2303-9027.138783","article-title":"Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound","volume":"3","author":"Liu","year":"2014","journal-title":"Endosc Ultrasound"},{"key":"2025082622393335000_15.3.e248791.7","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1007\/s11605-009-1124-z","article-title":"Congenital anomalies of the gastrointestinal tract diagnosed in adulthood--diagnosis and management","volume":"14","author":"Vaos","year":"2010","journal-title":"J Gastrointest Surg"},{"key":"2025082622393335000_15.3.e248791.8","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2010.083238"},{"key":"2025082622393335000_15.3.e248791.9","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/s-0037-1609028","article-title":"Enteric duplication","volume":"31","author":"Jeziorczak","year":"2018","journal-title":"Clin Colon Rectal Surg"},{"key":"2025082622393335000_15.3.e248791.10","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1002\/bjs.1800176504","article-title":"Congenital diverticula of the intestine: with the report of a case exhibiting heterotopia","volume":"17","author":"Edwards","year":"2005","journal-title":"Br J Surg"},{"key":"2025082622393335000_15.3.e248791.11","first-page":"132","volume-title":"Diverticula and duplications of the intestinal tract","volume":"38","author":"Bremer","year":"1944"},{"key":"2025082622393335000_15.3.e248791.12","doi-asserted-by":"publisher","DOI":"10.1136\/adc.35.179.76"},{"key":"2025082622393335000_15.3.e248791.13","doi-asserted-by":"publisher","DOI":"10.1002\/aja.1000070406"},{"key":"2025082622393335000_15.3.e248791.14","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1001\/archpedi.1971.02110060071012","article-title":"Enteric duplications. thirty-seven cases: a vascular theory of pathogenesis","volume":"122","author":"Favara","year":"1971","journal-title":"Am J Dis Child"},{"key":"2025082622393335000_15.3.e248791.15","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00000658-198902000-00006","article-title":"Surgical management of alimentary tract duplications","volume":"209","author":"Holcomb","year":"1989","journal-title":"Ann Surg"},{"key":"2025082622393335000_15.3.e248791.16","first-page":"2103","volume-title":"Shackelford\u2019s Surgery of the Alimentary Tract","volume":"2","author":"Yeo","year":"2018"},{"key":"2025082622393335000_15.3.e248791.17","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.63.737.213"},{"key":"2025082622393335000_15.3.e248791.18","first-page":"49","article-title":"Rectal duplication","volume":"41","author":"Kulkarni","year":"1995","journal-title":"J Postgrad Med"},{"key":"2025082622393335000_15.3.e248791.19","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s40792-019-0631-8","article-title":"An unusual rectal duplication cyst","volume":"5","author":"Anastasiadou","year":"2019","journal-title":"Surg Case Rep"},{"key":"2025082622393335000_15.3.e248791.20","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00383-006-1807-4","article-title":"Rectal duplication cyst: a combined abdominal and endoanal operative approach","volume":"23","author":"Rees","year":"2007","journal-title":"Pediatr Surg Int"},{"key":"2025082622393335000_15.3.e248791.21","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s10151-011-0681-9","article-title":"Rectal duplication cyst in adults treated with transanal endoscopic microsurgery","volume":"15","author":"Ben-Ishay","year":"2011","journal-title":"Tech Coloproctol"},{"key":"2025082622393335000_15.3.e248791.22","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.ijscr.2012.03.015","article-title":"An unusual presentation of a rectal duplication cyst","volume":"3","author":"Jackson","year":"2012","journal-title":"Int J Surg Case Rep"},{"key":"2025082622393335000_15.3.e248791.23","doi-asserted-by":"publisher","DOI":"10.1007\/BF02282353"},{"key":"2025082622393335000_15.3.e248791.24","doi-asserted-by":"publisher","DOI":"10.1089\/109264202762252758"},{"key":"2025082622393335000_15.3.e248791.25","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226338","article-title":"Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation","volume":"12","author":"Sharma","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082622393335000_15.3.e248791.26","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1111\/j.1758-5910.2011.00097.x","article-title":"Rectal duplication cyst successfully treated by laparoscopic total mesorectal excision using the prolapsing technique","volume":"4","author":"Akahane","year":"2011","journal-title":"Asian J Endosc Surg"},{"key":"2025082622393335000_15.3.e248791.27","doi-asserted-by":"crossref","first-page":"rjx115","DOI":"10.1093\/jscr\/rjx115","article-title":"Wide rectal duplication cyst in an adult resected by anterior approach: efficacy and recurrence","volume":"2017","author":"Ceriotti","year":"2017","journal-title":"J Surg Case Rep"},{"key":"2025082622393335000_15.3.e248791.28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2018.03.035","article-title":"Laparoscopic excision of a retroperitoneal completely isolated enteric duplication cyst in an adult male: a case report and review of literature","volume":"46","author":"Sasaki","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082622393335000_15.3.e248791.29","first-page":"129","article-title":"Enteric duplication in the adult, derived from the foregut, midgut and hindgut: presentation, patterns and literature review","volume":"40","author":"Hackam","year":"1997","journal-title":"Can J Surg"},{"key":"2025082622393335000_15.3.e248791.30","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1590\/1516-3180.2017.0184030817","article-title":"Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin","volume":"136","author":"Huang","year":"2018","journal-title":"Sao Paulo Med J"},{"key":"2025082622393335000_15.3.e248791.31","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050343"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-248791","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:39:41Z","timestamp":1756273181000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-248791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":31,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,15]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2022-248791"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-248791","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}