A case of presacral teratoid cyst in an adult patient

Folia Med (Plovdiv). 2021 Apr 30;63(2):287-291. doi: 10.3897/folmed.63.e53524.


Presacral teratoid cyst (PTC) is a congenital structural abnormality located in the pararectal area and containing tissues from different germ layers. Cases of diagnosis and treatment of PTC in adults are extremely rare and there is little information about the treatment tactics and prognosis. We describe a case of PTC in a 28-year-old woman, with a description of the diagnostic process, preoperative and postoperative management, as well as a brief review of the literature on this topic. A reconstructive surgery was performed on the perineum, including: parasacral access, excision of the presacral cyst together with removal of the coccyx and plastic of the opening. The postoperative observation of the patient was without complications.

Keywords: parasacral access; presacral area; presacral teratoid cyst.