ArticleSurgical case reports2025
Ischiorectal Mass Excision Using Ultrasound-Guided, Wire-Needle Localization.
Article in Surgical case reports, 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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3 authors.
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Abstract
introductionIn this work, we describe an unusual presentation of a nuchal-type fibroma, presenting as a mass in the ischiorectal space in an adult male. Since this lesion was not palpable and was in close proximity to the anal sphincter complex, we describe a novel multidisciplinary approach using wire-needle localization with interventional radiology to allow for a directed dissection, similar to an approach used in breast partial mastectomy surgeries. CASE PRESENTATION: A 56-year-old male presented with an incidentally found 2.1 × 2.7 × 1.8 cm ischiorectal mass that abutted the anal sphincter complex. Interventional radiology performed an ultrasound-guided wire needle localization which allowed for a directed dissection down to the lesion. Pathology was consistent with nuchal-type fibroma with negative margins. The patient now undergoes surveillance with semi-annual MRIs.
conclusionsThis case report describes a novel application of a hybrid surgical approach utilizing intraoperative image-guided localization for the safe excision of a rare soft tissue mass in an atypical, difficult-to-access location.
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