ArticleCureus2025
A Longstanding Pre-coccygeal Cyst With Recurrent Infection and Fistulisation: A Rare Case of a Presacral Lesion in a Young Woman.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
Presacral cystic lesions are rare and diagnostically challenging due to their nonspecific symptoms and deep anatomical location. We report a case of a young woman with a pre-coccygeal cyst, first identified following an emergency Caesarean section in 2020. Over the next five years, the lesion increased in size, likely exacerbated by hormonal changes during successive pregnancies, resulting in chronic pelvic pain, neurological symptoms, and cutaneous fistulisation. Imaging via MRI and CT demonstrated a complex, encapsulated lesion with peripheral enhancement and restricted diffusion. Multidisciplinary evaluation suggested a congenital epidermoid or duplication cyst. Given the absence of malignancy and surgical complexity, a conservative management strategy was adopted. This case underscores the importance of including longstanding presacral cysts in differential diagnoses and highlights the value of multidisciplinary input and long-term surveillance in guiding management.
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