Surgical management of large, connected perineal and pelvic epidermal inclusion cysts mimicking a dumbbell-shaped lesion in an adult male

Thompson, Dakota T.; Wilkinson, Neal; Hrabe, Jennifer E.; Arshava, Evgeny V.

doi:10.1016/j.ijscr.2022.106932

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2024

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“…Acquired epidermoid cysts may form in areas that were previously exposed to trauma or surgery which led the epidermis to sequester in the dermis, allowing for gradual development of the lesion through core sloughing of dead cells [ 4 ]. They are frequently asymptomatic and may occur without genetic predisposition [ 5 ]. A pelvic computed tomography (CT) scan and magnetic resonance imaging (MRI) are the gold standards for diagnosis [ 1 ].…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%