Diagnostic, Therapeutic and Evolutionary Problems of Retro-Rectal Tumors (About 3 Cases)

Abstract

Retro-rectal tumors are asymptomatic in most cases. Rarely they manifest as a rectal syndrome as in the case of our patients, or as a result of superinfection or malignant degeneration. Positive diagnosis is based on digital rectal examination, rectoscopy, echo-endoscopy and especially pelvic MRI and CT scan. Once the diagnosis has been made, surgical removal is required as soon as possible. Several surgical approaches have been proposed: perineal or transacral approach (adopted in our first case); abdominal approach or combined approach. The decision of the approach depends on the size of the tumor, its location and its histological nature. In case of malignant degeneration, the prognosis is poor. We report 3 cases of retro-rectal tumors operated on in the department of digestive cancer surgery and liver transplantation of the CHU Ibn Rochd of Casablanca with the support of data from the literature.