Tailgut cysts represent a rare clinical and radiologic finding that should be considered when a mass is found in the presacral space
, particularly in middle-age females.
Constanze Rayhrer placed two Penrose drains in the presacral space
11] The retroperitoneal presacral space
is the most commonly reported location of an extra-adrenal myelolipoma (EAML).
However, the view of the presacral space
is generally significantly improved with the 30-degree down scope.
Mobilisation of the rectum was also done in most patients, whereby the peritoneum medial to the rectum was opened, followed by exploration of the presacral space
and anterior mobilisation of the rectum.
Similar findings involved the contralateral iliopsoas muscle, extending into the extraperitoneal soft tissues of the left pelvis, paraspinous musculature, and presacral space
Imaging studies of the pelvis, including computed tomography and magnetic resonance imaging, demonstrated a large, multiloculated cyst located in the presacral space
If you connect the bladder neck correctly with a sling and bring the apex up into the presacral space
, the anterior vaginal wall will rotate back, and it doesn't matter as much what the right and the left [sides] are doing," he said.