Cloacal remnant with concomitant perirectal epidermoid cyst in an 8-year-old female

O'Hara, Thomas A.; Ciampa, Maeghan L.; Joel, Constance L.; Pipkin, Walter L.

doi:10.1016/j.epsc.2022.102405

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2024

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“…The finding of an epidermal inclusion cyst in the pelvis with this relatively large size in a pediatric female patient is very rare. To our knowledge, there have been only four prior cases reported in the literature, and this case is the first case in the Middle East [ 10 , 13 - 15 ]. Hence, it was discovered incidentally during the workup of the fistula observed during the physical examination, which was not connected to the cyst or the urinary bladder.…”

Section: Discussionmentioning

confidence: 99%

Pararectal Epidermal Inclusion Cyst in a Pediatric Patient

Moosa,

Bozieh,

Darawi

et al. 2024

Cureus

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Epidermal inclusion cysts, commonly found cutaneously, rarely manifest in the pelvis. They are typically asymptomatic and often occur following trauma or surgical interventions. Imaging modalities, notably computed tomography (CT) scans and magnetic resonance imaging (MRI), play a crucial diagnostic role. Herein, we report a rare case of a four-year-old female with a complicated medical and surgical history, presented with pain in the right gluteal region in the setting of past history of abscess drainage in the same area. Imaging revealed a cystic lesion in the right pararectal space and a fistula extending between the pelvic cavity and gluteal region. A laparotomy was performed, and a histopathologic examination confirmed the diagnosis of an epidermal inclusion cyst with no evidence of malignancy.

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Section: Discussionmentioning

confidence: 99%