The case here reported is, I believe, unique in medical annals. I have been unable to find a report of any similar case in the literature.
REPORT OF CASE
A vigorous athletic white man, aged 33, had been suffering with internal hemorrhoids for several years which protruded at defecation and had to be pushed back. About the middle of October, 1925, the patient participated in a polo game, during which the hemorrhoids were particularly painful and troublesome, the patient having to push them back several times between periods. I examined him immediately after the game and found the hemorrhoids protruding and bleeding. To the right of the anus there was a rounded, smooth swelling about the size of a medium sized lemon. When tapped on, this swelling seemed hollow. It could be readily picked up between the fingers and was not at all painful. The patient stated that it had
KOONTZ AR. GASEOUS CYST OF ISCHIORECTAL SPACE RESULTING FROM MINUTE PERFORATION OF RECTUM. JAMA. 1928;91(6):382-383. doi:10.1001/jama.1928.02700060016005