Résumé
La transformation maligne d’une duplication rectale est une situation exceptionnelle; le premier cas décrit dans la littérature remonte à 1932. Nous rapportons un nouveau cas de dégénérescence d’une duplication rectale chez un patient âgé de 45 ans, opéré d’une duplication rectale. Six ans plus tard, des sciatalgies bilatérales paralysantes révèlent un envahissement sacré par un adénocarcinome colorectal. Le patient bénéficie d’une laminectomie sacrée avec radiochimiothérapie. Malgré la rareté de ces cas de dégénérescence sur duplication rectale, notre observation plaide en faveur d’une surveillance dont les modalités restent à définir.
Abstract
Malignant transformation of a rectal duplication is an exceptional situation; the first case was described in literature in 1932. We report a case of degeneration of a rectal duplication that occured in a patient aged 45-Years, operated for rectal duplication. 6 years later he developed a bilateral sacred paralytic sciatica due to invasion by colorectal adenocarcinoma. He had laminectomy and chemoradiation. Degeneration of rectal duplication is a rare situation, our observation emphasizes on a regular follow-up.
Références
Michael D, Cohen CR, Northover JM. Adenocarcinoma within a rectal duplication cyst: case report and literature review. Ann R Coll Surg Engl 1999;81:205–206.
Rodríguez-Cabrera J, Villanueva-Sáenz E, Bolaños-Badillo L. Anterior rectal duplication in adult patient: a case report. Rev Gastroenterol Mex 2009;74:45–49.
La Quaglia MP, Feins N, Eraklis A, Hendren WH. Rectal duplications. J Pediatr Surg 1990;25:980–984.
Glasgow SC, Birnbaum EH, Lowney JK, Fleshman JW, Kodner IJ, Mutch DG, et al Retrorectal tumors: a diagnostic and therapeutic challenge. Dis Colon Rectum 2005;48:1581–1587.
Turyna R, Horák L, Kucera E, Hejda V, Krofta L, Feyereisl J. Rectal duplication cyst-case report. Ceska Gynekol 2009;74:236–239.
Rajah S, Ramanujam TM, Anas SR, Jayaram G, Baskaran P, Ganesan J, et al Duplication of the rectum: report of four cases and review of the literature. Pediatr Surg Int 1998;13:373–376.
Parvaiz A, Stevens RJ, Lamparelli MJ, Jeffery PJ. A rare case of adenocarcinoma arising within a duplication cyst of the rectum: curative excision with 9-year follow-up. Ann R Coll Surg Engl 2005;87:W8–W10.
Bettaïeb I, Kourda N, Sayari S, Ben Moussa M, Morched A, Zaouch A, et al Adenocarcinoma arising in a rectal duplication cyst. Tunis Med 2008;86:729–730.
Springall RG, Griffiths JD. Malignant change in rectal duplication. J R Soc Med 1990;83:185–187.
Freemont AJ, Jones AW. Adenocarcinoma arising in a rectal duplication. Br J Clin Pract 1983;37:398.
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Lahmidani, N., Turki, H., Lepere, C. et al. Adénocarcinome rectal six ans après chirurgie d’une duplication rectale kystique. Acta Endosc 41, 138–140 (2011). https://doi.org/10.1007/s10190-011-0158-8
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DOI: https://doi.org/10.1007/s10190-011-0158-8