Abstract
Case Report: We present an extremely rare case of anterior rectal duplication cyst in a 36-year old female patient. The patient presented with deep perineal pain, constipation, and severe dyspareunia. Pelvic examination showed a mass in the rectovaginal space. The condition has been diagnosed by MRI. The cyst was completely excised through transvaginal approach due to its lower anterior location. The transvaginal approach was safe, easy and was followed by well-preserved anal functions. Post-operative histopathological examination confirmed the diagnosis of rectal duplication cyst. The patient was followed for one year and she reported complete disap-pearance of her pre-operative symptoms.
Conclusions: Although anterior rectal duplication is an extremely rare condition, it should be put into consideration in managing patients with pararectal cysts. MRI is an efficient radiological investigation that accurately describes the cyst and its relation to surrounding structures. Transvaginal ap-proach is a safe and easy approach to excise these lesions, especially when they have a low anterior location.