Presacral abscess formation due to rectal stump insufficiency following Hartmann procedure is very rare complication. If the abscess cavity is large, it might delay the reversal of the stoma and will probably result in a devastating future functioning of the neorectum. Moreover, very invasive treatments will be required in order to prevent severe septic complications. We present the case of a 5...

A 69-year-old female presented as an emergency with atrial fibrillation, which was treated with warfarin. She subsequently developed fresh rectal bleeding and after further investigations a Dukes B adenocarcinoma of the rectum was found. She subsequently underwent a low anterior resection, coloanal anastamosis and a defunctioning ileostomy. Three sterile surgical metallic tacks (pins) were inse...

A case of anterior sacral meningocele associated with tethered cord syndrome is reported. A 5-year-old boy was admitted for urinary and fecal incontinence which had persisted since his birth. Abdominal MRI and sacral CT showed a presacral cystic mass communicating with the spinal dural sac through a neck traversing a sacral bony defect and tethered spinal conus. Neurological examination showed ...

A 64-year-old woman was diagnosed to have refractory cytopenia with multilineage dysplasia (RCMD) including an increased number of sideroblasts in the bone marrow (BM). Computed tomography (CT) revealed a presacral mass which showed iso- or high-intensity signals according to T1-weighted and hypo-intensity signals on T2-weighted magnetic resonance imaging (MRI). CT-guided biopsy revealed the pr...

Fig. 2 A sacrococcygeal teratoma is a tumor that develops at the base of the coccyx. It occurs in 1 out of every 35,000–40,000 live births and is the most common tumor in newborns [1]. The tumor originates during embryonic development when the primitive streak fails to differentiate among mesodermal, ectodermal, and endodermal tissues in the embryonic disc [2]. A 2850 g girl was born by cesarea...

A 59-year-old woman presented with a history of intermittent abdominal discomfort associated with bloody bowel movements. Physical examination was notable for mild suprapubic tenderness. A colonoscopy revealed a submucosal tumor with a necrotic tip, which was nearly obstructing the colonic lumen in the sigmoid (Figure 1). An abdominal/pelvic computed tomography (CT) showed a colonic mass with a...