EC Gastroenterology and Digestive System

Case Report Volume 12 Issue 3 - 2025

Tailgut Cyst Presenting as a Pararectal Multiloculated Cystic Mass in a 43-Year-Old Woman: A Radiologic Case Report and Literature Review

Basma Beqqali*, Ola Messaoud, Basma Dghoughi, Oumaima Mesbah, Zineb Labbi, Omar El Aoufir, Laila Jroundi and Zaynab Iraqi Houssaini

Emergency Radiology Department, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
*Corresponding Author: Basma Beqqali, Emergency Radiology Department, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco.
Received: October 14, 2025; Published: November 11, 2024



Tailgut cysts, or retrorectal cystic hamartomas, are rare congenital lesions derived from remnants of the embryonic hindgut. They are typically located in the retrorectal or pararectal space and occur predominantly in middle-aged women.

We report the case of a 43-year-old woman presenting with pelvic pain and heaviness. Pelvic ultrasound and MRI revealed a well-circumscribed, multiloculated pararectal cystic lesion with mucinous content and focal enhancing mural thickening, suggestive of a tailgut cyst. No histologic confirmation was available at this stage.

This case highlights the imaging features of tailgut cysts and the role of MRI in their diagnosis and management planning.

 Keywords: Tailgut Cyst; Retrorectal Cystic Hamartoma; MRI; Pararectal Cyst; Congenital Lesion

Basma Beqqali., et al. “Tailgut Cyst Presenting as a Pararectal Multiloculated Cystic Mass in a 43-Year-Old Woman: A Radiologic Case Report and Literature Review".  12.3 (2025): 01-05.