Saudi Journal of Gastroenterology
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RADIOLOGY QUIZ Table of Contents   
Year : 2009  |  Volume : 15  |  Issue : 2  |  Page : 145-146
Twelve-years old girl with retro-rectal mass


1 Department of Pediatric Surgery, University Hospital Hassan II, Fez, Morocco
2 Department of Pediatrics, University Hospital Hassan II, Fez, Morocco
3 Biophysics Department, Faculty of Medicine and Pharmacy, Fez, Morocco

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How to cite this article:
Arroud M, Lamiae C, Atmani S, Boujraf S, Afifi M, Hida M, Bouabdallah Y. Twelve-years old girl with retro-rectal mass. Saudi J Gastroenterol 2009;15:145-6

How to cite this URL:
Arroud M, Lamiae C, Atmani S, Boujraf S, Afifi M, Hida M, Bouabdallah Y. Twelve-years old girl with retro-rectal mass. Saudi J Gastroenterol [serial online] 2009 [cited 2019 Dec 12];15:145-6. Available from: http://www.saudijgastro.com/text.asp?2009/15/2/145/49013


A 12-years-old girl followed for recurrent urinary infections was admitted to the pediatric department complaining of a 1-year history of constipation and pelvic pain. The child also reported of low spinal pain without any sensorymotor disorder. There were no events of rectal bleeding. Clinical examination revealed a suprapubic sensitivity with no perceptible abdominal mass. Digital rectal examination revealed a spherical, renitent and painless retrorectal mass. However, no intraluminal lesion was found. The anteroposterior and lateral X rays of both the thoracolumbar spine and the pelvis did not show any particularities. The abdominopelvic ultrasonography revealed a right laterouterine cystic mass measuring 4.5 cm in the largest diameter. The pelvic magnetic resonance imaging (MRI) showed an ovoid mass measuring 65 x 50 mm, with a regular wall thickness of 2 mm. The lesion had a hypersignal content in both the T1- and the T2-weighted images, pushing the rectum and the respective neighbouring structures [Figure 1],[Figure 2]. The uterus and the ovaries as well as the lumbar spine were normal.


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   References Top

1.La Quaglia MP, Feins L, Eraklis A, Hendren H. Rectal duplications. J Pediatr Surg 1990;25:980-4.  Back to cited text no. 1    
2.Parkash S, Veliath AJ, Chandrasekaran V. Ectopic gastric mucosa in duplication of the rectum presenting as a perianal fistula. Dis Colon Rectum 1982;25:225-6.  Back to cited text no. 2  [PUBMED]  
3.Saglam M, Tasar M, Somuncu I, Gulek B, Salih DM. Anterior rectal duplication cyst lined by respiratory epithelium in an adult: TRUS, CI' and MRI findings. Eur J Radiol Extra 2003;45:89-92.  Back to cited text no. 3    
4.Kumar R, Shun A, Arbuckle S, Gaskin K. Diverticular rectal duplication with heterotopic gastric mucosa in a child: A rare cause of rectal bleeding. J Paediatr Child Health 2000;36:191-2.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]
5.Orr MM, Edwards AJ. Neoplastic change in duplications of the alimentary tract. Br J Surg 1975;62:269-74.  Back to cited text no. 5  [PUBMED]  

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Correspondence Address:
Mounir Arroud
BP. 2830 Fes principal, 30000 Fez
Morocco
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.49013

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  [Figure 1], [Figure 2], [Figure 3]



 

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