Presacral Epidermoid Cyst in an Elderly Female, Mistaken for Ovarian Cystadenoma

Jha, Abhishek; Gupta, Prakhar; Saud, Mohd; Gupta, Gagan

doi:10.1007/s13224-013-0409-z

Cited by 5 publications

(11 citation statements)

References 9 publications

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“…Definitive diagnosis of epidermoid cyst could be achieved by the histopathological examination. Typical histological findings of epidermoid cysts include a wall with a thin line of squamous epithelium, and the cyst is filled with keratinized material [6]. Our observation in the current case is consistent with the previous findings.…”

Section: Discussionsupporting

confidence: 92%

“…Epidermoid cysts are very slow-growing masses; consequently, many of them are asymptomatic [1]. The early symptoms that occur due to the mass effect of the cyst include constipation, pain, hydronephrosis, and difficulty in defecation [6]. Due to late clinical presentation of the cyst, complications may occur, which include infections and bleeding; however, the epidermoid cysts are unlikely to undergo malignant transformation [6].…”

Section: Discussionmentioning

confidence: 99%

“…The early symptoms that occur due to the mass effect of the cyst include constipation, pain, hydronephrosis, and difficulty in defecation [6]. Due to late clinical presentation of the cyst, complications may occur, which include infections and bleeding; however, the epidermoid cysts are unlikely to undergo malignant transformation [6]. Epidermoid cysts may be misdiagnosed with anorectal abscess, complicated fistula, and pilonidal sinuses [3].…”

Section: Discussionmentioning

confidence: 99%

“…MRI is considered more accurate for the diagnosis of an epidermoid cyst. Recent reports recommend using MRI with diffusion-weighted images as preoperative diagnostic modality for retrorectal/presacral cyst [2,6]. Classically, epidermoid cysts show a hypointense mass on T1-weighted images and hyperintense mass on T2-weighted images, indicating diffusion restriction.…”

Section: Discussionmentioning

confidence: 99%

“…Uncomplicated cysts may show a regular flat contour without enhancement [7]. MRI may also help differentiate the epidermoid cyst from other retrorectal/presacral masses including teratomas, tailgut, or infected congenital cyst, which usually show a homogenous pattern on MR imaging [6]. In this case, MRI was used as the first imaging modality.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling

Al-Shoura

Malaekah

Bassam

2020

Case Reports in Surgery

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A retrorectal epidermoid cyst is an uncommon congenital lesion that arises from the remnants of the embryonic tissues. This type of cyst is difficult to diagnose before surgery. In this study, we report a rare case of a giant retrorectal epidermoid cyst in a 30-year-old woman. Initially, the condition was diagnosed as a perianal abscess and treated with incision and drainage. Since the abscess recurred, a pelvic magnetic resonance imaging was ordered, which revealed an 8.2 cm perianal cyst with appearance not compatible with an abscess. Postsurgical histologic analysis confirmed a retrorectal epidermoid cyst. Postoperative course was uneventful, and the woman was discharged on postoperative day 3. She was doing well at 4 months of follow-up. This report suggests that retrorectal cysts should be considered in cases of recurrent perianal swellings/abscesses.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling

Al-Shoura

Malaekah

Bassam

2020

Case Reports in Surgery

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Magnetic Resonance Imaging in Giant Perianal Epidermoid

Patil

Bansal

Chakma

et al. 2021

Journal of Gastrointestinal and Abdominal Radiology

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Perianal epidermoid cyst is a rare entity and is commonly diagnosed late owing to its slow-growing nature. Imaging plays a vital role in diagnosis and differentiation from other cysts such as dermoid, tailgut, and rectal duplication cysts. Magnetic resonance imaging (MRI) is the preferred modality as uncomplicated cases show typical signal changes. Diffusion-weighted imaging has a definite additional role. We report a case of a giant perianal epidermoid diagnosed on MRI and successfully managed surgically.

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Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report

Ji¹,

Yan²,

Gao³

et al. 2022

World J Clin Cases

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BACKGROUND Perirectal epidermoid cysts are rare masses arising from the ectodermal germ cell layer of the hindgut and are predominantly found in middle-aged women. It is often difficult to make an accurate diagnosis of these cysts and it is equally challenging to distinguish it from other developmental cysts. CASE SUMMARY We report the case of an 18-year-old female patient with a perirectal mass who presented to the hospital with constipation. The patient experienced sacrococcygeal falls and burns on the left buttocks during growth. Three-dimensional computed tomography scans indicated abnormal sacral vertebrae with the sacral canal partially enlarged and opened. Pelvic magnetic resonance imaging showed a 55 mm × 40 mm × 35 mm unilocular cystic mass in the perirectal space and a solitary sinus in the left ischiorectal fossa. The cyst was completely resected posteriorly using the sacrococcygeal approach. The pathology was verified to be an epidermoid cyst. The patient remained recurrence-free after 6 mo of follow-up. CONCLUSION Successful treatment of perirectal epidermoid cysts depends on comprehensive evaluation. This is significant for the surgical approach and prognosis.

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Presacral Epidermoid Cyst in an Elderly Female, Mistaken for Ovarian Cystadenoma

Cited by 5 publications

References 9 publications

Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling

Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling

Magnetic Resonance Imaging in Giant Perianal Epidermoid

Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report

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