Conventional hemostatic measures are often unsatisfactory in presacral venous bleeding occurring during surgical mobilization of the rectum. We designed a new type of hemorrhage occluder pin, with a ridged shaft, which may be rapidly placed into the sacrum to control hemorrhage. The aims of this study were 1) to assess the best pin shaft length by measuring the thickness of human sacral vertebr...

BACKGROUND Primary presacral tumour is extremely rare among adults. Such lesions are often found incidentally, because they may not show any clinical symptoms. Moreover, differentiation between cystic changes in ovary and presacral region is extremely difficult; it might even be a diagnostic challenge. Imaging studies should include transvaginal and transrectal ultrasound, computed tomography a...

Tailgut cyst, also called retrorectal hamartoma, is a rare congenital lesion and is usually located anterior to the sacrum and posterior to the rectum. We report a case of double tailgut cyst (presacral and precoccygeal hamartoma). A 62-yearold female visited the hospital complaining of anal pain and pressure in the perianal area for one month. Digital rectal examination revealed a round mass w...

therapeutic colonoscopy is a rare but serious complication [1]. It is usually managed with immediate open surgery. However, conservative therapy has recently been advocated [2], provided that adequate precolonoscopic bowel preparation hasbeen carriedout and that noperitoneal signs are present [3]. Asymptomatic perforations after colonoscopic polypectomy have been conservatively managed using cl...

Experience with minimally invasive approaches, such as laparoscopic ablation and transanal endoscopic microsurgery, to resection pelvic retroperitoneal and presacral tumors is limited. Masses arising from this anatomic position are usually removed using a transsacral approach or laparotomy. We report a detailed description of the laparoscopic procedure performed in a 32-year-old woman to remove...

Sacral schwannoma is a rare retrorectal tumor in adults. Postoperative sacral neurological deficit is difficult to avoid. Currently, there is no established consensus regarding best treatment options. We present a case of a 33 years old patient with atypical discomfort in lower abdomen and no neurological complaints who was diagnosed with a pelvic mass by abdominal ultrasound. CT, MRI and MSCT ...

The Currarino triad, also known as the “Currarino Syndrome”, is a rare complex of congenital caudal anomalies including three main features; a sacral bony deformity, anorectal malformations, and a presacral mass. We present an extremely uncommon case of Currarino syndrome in adulthood presenting with repeated episodes of meningitis. Magnetic resonance imaging of spine was suggestive of caudal r...

INTRODUCTION Irreversible electroporation (IRE) is a new minimally invasive tumor ablation technique which induces irreversible disruption of cell membrane integrity by changing the transmembrane potential resulting in cell death. Irreversible electroporation is currently undergoing clinical investigation as local tumor therapy for malignant liver and lung lesions. This is the first case report...