Annals of Coloproctology

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Case Report

Epidermoid Cyst of the Cecum: Jae-Young Park, Youn Wha Kim, Kil Yeon Lee, Ji-Youn Sung; Ann Coloproctol. 2015;31(1):37-39. Published online February 28, 2015; DOI: https://doi.org/10.3393/ac.2015.31.1.37

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An epidermoid cyst of the cecum is extremely rare; only eight cases have been reported in the literature. A 63-year-old woman was admitted to Kyung Hee University Medical Center with a colonic mass that had been discovered incidentally during a regular health check-up. The radiographic impression was that this mass was a gastrointestinal stromal tumor. During surgery, an exophytic mass in the cecal wall was resected by using an ileocecectomy. Based on the macroscopic and the microscopic findings, this case was identified as an epidermoid cyst of the cecal wall. We report this case to discuss the origin of this entity and the unusual nature of our case.

Citations

Citations to this article as recorded by

Epidermoid Cyst of the Cecum Treated by Laparoscopic Colectomy: A Case Report With Histopathology and Literature Review
Ada Firrincieli, Eleonora Nardi, Lavinia Pugliese, Chiara Marconcini, Giovanni Alemanno, Luca Messerini, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2025;[Epub] CrossRef
Epidermoid Cyst in the Appendix: A Rare Entity
Yu Ya Nway, Raj Shah, Jignesh Parikh, Ernesto Robalino Gonzaga
Cureus.2022;[Epub] CrossRef
Epidermoid cyst of the cecum resected by single-incision laparoscopic colectomy: a case report
Tetsuro Tominaga, Takashi Nonaka, Akiko Fukuda, Masaaki Moriyama, Shosaburo Oyama, Mitsuhisa Ishii, Terumitsu Sawai, Nozomi Ueki, Takeshi Nagayasu
Surgical Case Reports.2021;[Epub] CrossRef
A rare case of epidermoid cyst of the cecum
Giovanni Tonelli, Emanuele Soricelli, Margherita Vannucchi, Marcello Lucchese
Clinical Journal of Gastroenterology.2021; 14(6): 1746. CrossRef
Cecal epidermoid cyst: a neonatal case with clinicopathological consideration
Joo-Young Na, Soo-Hong Kim, Narae Lee
BMC Pediatrics.2021;[Epub] CrossRef
Multifocal Epidermoid Cysts Accompanied with Ruminal Tympany in a 36-Month-Old Holstein Cow
Sinya TOKUTAKE, Satomi DOAI, Daiki KAWASHIMA, Hirotaka MORITA, Tomoyuki SHIBAHARA
Journal of the Japan Veterinary Medical Association.2021; 74(9): 558. CrossRef
A Case of Epidermoid Cyst of the Cecum Treated by Laparoscopic Resection
Ryoji Kaizaki, Toru Inoue, Satoshi Takatsuka, Tadashi Tsukamoto
Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons).2020; 45(6): 800. CrossRef
An Unusual Cecal Mass in an Otherwise Healthy Young Woman
Lisa Lutz, Philipp Holzner, Hannes Neeff
Gastroenterology.2016; 150(5): e5. CrossRef

Original Article

Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults: Sung Wook Baek, Haeng Ji Kang, Ji Yong Yoon, Do Youn Whang, Duk Hoon Park, Seo Gue Yoon, Hyun Sik Kim, Jong Kyun Lee, Jung Dal Lee, Kwang Yun Kim; J Korean Soc Coloproctol. 2011;27(6):303-314. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.303

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22 Citations

Abstract PDF

Purpose

A retrorectal developmental cyst (tailgut cyst, epidermoid cyst, dermoid cyst, teratoma, and duplication) is very rare disease, and the symptoms are not characteristic so that sometimes this disease is still misdiagnosed as a supralevator abscess or a complex anal fistula. We would like to present a clinical approach to this disease.

Methods

We retrospectively examined the charts of 15 patients who were treated for retrorectal cysts from January 2001 to November 2009.

Results

All 15 patients were female. The average age was 41 years (range, 21 to 60 years). Fourteen patients (93.3%) were symptomatic, and the most common symptom was anal pain or discomfort. Nine patients (60%) had more than one previous operation (range, 1 to 9 times) for a supralevator abscess, an anal fistula, etc. In 12 patients (80%), the diagnosis could be made by using the medical history and physical examination. Thirteen cysts (80%) were excised completely through the posterior approach. The average diameter of the cysts was 4.8 cm (range, 2 to 10 cm). Pathologic diagnoses were 8 tailgut cysts (53.3%), 5 epidermoid cysts (33.3%) and 2 dermoid cysts (13.3%). The average follow-up period was 18.3 months (range, 1 to 64 months).

Conclusion

In our experience, high suspicion and physical examination are the most important diagnostic methods. If a female patient has a history of multiple perianal operations, a retrorectal bulging soft mass, a posterior anal dimple, and no conventional creamy foul odorous pus in drainage, the possibility of a retrorectal developmental cyst must be considered.

Citations

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Clinical characteristics of presacral cysts and risk factors for long-term fecal incontinence following laparoscopic resection of lesions
Zi-Yan Wang, Pei-Pei Wang, Kai-Wen Xu, Qian-Yu Wang, Jiao-Lin Zhou, Hui-Zhong Qiu, Chen Lin, Bin Wu
Surgery.2025; 187: 109660. CrossRef
Pararectal Epidermal Inclusion Cyst in a Pediatric Patient
Nour H Moosa, Hadeel Bozieh, Nermin Darawi, Fatima Hajjaj, Noor Awad, Firas Almasaid
Cureus.2024;[Epub] CrossRef
Endoscopic Resection of Tailgut Cyst
Oleksandr Kiosov, Vladyslav Tkachov, Sergii Gulevskyi, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2024;[Epub] CrossRef
Presacral Keratinous and Dermoid Cyst Masquerading as Meningocele – A Rare Case Report
Lucky Gupta
African Journal of Paediatric Surgery.2024; 21(4): 271. CrossRef
A report of presacral epidermoid cyst in perimenopausal women: An extremely rare site and an unusual cause of chronic constipation
Salem M. Tos, Afnan W.M. Jobran, Anas Alasafrah, Izzeddin Bakri, Fahmi Jubran
International Journal of Surgery Case Reports.2023; 103: 107880. CrossRef
Retrorectal epidermoid mistaken for perirectal swelling: A case report
Mossaab Ghannouchi, Mohamed Ben Khalifa, Olfa Zoukar, Karim Nacef, Amina Chakka, Moez Boudokhan
International Journal of Surgery Case Reports.2022; 95: 107187. CrossRef
Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report
Zhou-Xin Ji, Song Yan, Xu-Can Gao, Li-Fen Lin, Qiang Li, Qi Yao, Dong Wang
World Journal of Clinical Cases.2022; 10(30): 11139. CrossRef
Chinese expert consensus on standardized treatment for presacral cysts
Gangcheng Wang, Chengli Miao
Gastroenterology Report.2022;[Epub] CrossRef
Presacral epidermoid cyst in a pediatric patient
Lilly Gu, Cara L. Berkowitz, John D. Stratigis, Lee K. Collins, Maria Mostyka, Nitsana A. Spigland
Journal of Pediatric Surgery Case Reports.2021; 71: 101904. CrossRef
Epidemiology, diagnostic approach and therapeutic management of tailgut cysts: A systematic review
Aikaterini Mastoraki, Ilias Giannakodimos, Karmia Panagiotou, Maximos Frountzas, Dimosthenis Chrysikos, Stylianos Kykalos, Georgios E. Theodoropoulos, Dimitrios Schizas
International Journal of Clinical Practice.2021;[Epub] CrossRef
Successful excision of a retrorectal cyst through trans-sacral approach: A case report
Tlal Matouq Alsofyani, Mohammed Yousef Aldossary, Faisal Fahd AlQahtani, Khalid Sabr, Ameera Balhareth
International Journal of Surgery Case Reports.2020; 71: 307. CrossRef
Anal Gland/Duct Cyst: A Case Report
Guh Jung Seo, Ju Heon Seo, Kyung Jin Cho, Hyung-Suk Cho
Annals of Coloproctology.2020; 36(3): 204. CrossRef
Retrorectal Epidermal Inclusion Cyst: An Incidental Finding During Cesarean Section
Sundus Nasim, Sohail Kumar, Dua Azim, Lajpat Rai, Summaya Saeed
Cureus.2020;[Epub] CrossRef
Combined laparoscopic and perineal approach for the management of recurrent tailgut cyst
Ankur Patel, Pranav Mandovra, Tanveer Majeed, Roy V Patankar
Asian Journal of Endoscopic Surgery.2019; 12(2): 181. CrossRef
Laparoscopic management of epidermoid cyst in an unusual location
Sindhuja Kesavan, Ramakrishnan Parthasarathi, Prakhar Gupta, Chinnusamy Palanivelu
BMJ Case Reports.2019; 12(2): e228043. CrossRef
Tailgut cyst: report of three cases and review of the literature
Ann-Sophie Hufkens, Peter Cools, Paul Leyman
Acta Chirurgica Belgica.2019; 119(2): 110. CrossRef
Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature
K. Nicoll, C. Bartrop, S. Walsh, R. Foster, G. Duncan, C. Payne, C. Carden
Colorectal Disease.2019; 21(8): 869. CrossRef
Laparoscopic surgical management of a mature presacral teratoma: a case report
Liming Wang, Yasumitsu Hirano, Toshimasa Ishii, Hiroka Kondo, Kiyoka Hara, Shintaro Ishikawa, Takuhisa Okada, Nao Obara, Shigeki Yamaguchi
Surgical Case Reports.2019;[Epub] CrossRef
Pre-sacral (retrorectal) abnormal tissue and tumours may be described by a new classification – A review article
Mohammad Bukhetan Alharbi
International Journal of Surgery Open.2018; 11: 1. CrossRef
Precoccygeal epidermoid cyst in a child — A unique case report
J.S. Aihole, G. Aruna, J. Deepak, S. Supriya
African Journal of Urology.2018; 24(4): 336. CrossRef
A Complicated Case of Pregnancy Involving a Presacral Epidermoid Cyst
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Journal of Nippon Medical School.2017; 84(2): 100. CrossRef
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Cancer Control.2016; 23(2): 170. CrossRef

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