Background: Hidrocystoma is a rare benign swelling(tumour) of sweat glands also known as the cystic form of hidroadenoma, cystadenomas, sudoriferous cysts, and Moll’s gland. It has no racial or sex predilection. Its rarity and site of occurrence makes its management challenging due to limitation in knowledge of making diagnosis, treatment, availability of drugs and interventions and aesthetic concerns. Presentation of Case: A 35 year old Nigerian woman from the Igbo ethnic group with tertiary level of education who presented to the dermatology outpatient clinic with a 10 year history of recurrent peri-orbital swelling associated with occasional pruritus. There was no history of similar lesion in any family member. Patient had resorted to self-medication and consulted different doctors prior to being referred to the dermatologist. Her physical examination was normal. She was also counselled about the disease and management options. She subsequently received seven sessions of the chemo-ablation using trichloroacetic acid (TCA) with remarkable improvement and has had no recurrence of lesions for the past 1 year. Conclusion: Hidrocystomas can be successfully treated in our environment.