Retrorectal cystic hamartoma. Report of one case with vaginal resection and review of the literature

Tailgut cyst is a rare congenital presacral lesion. We report a case of a 24-year-old woman presenting a recurrent retrorectal mass with pain. Surgical resection by vaginal way found retrorectal cystic hamartoma. Differential diagnosis include cystic teratoma, epidermal cyst and rectal duplication cysts. The most important complications are recurrence, infection, perineal fistulas and the possibility of malignant transformation. So the complete surgical excision of these lesion is necessary.