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Review
. 2013 Jan 8:2013:bcr2012007907.
doi: 10.1136/bcr-2012-007907.

Unusual site and uncommon presentation of epidermoid cyst: a rare case report and review of literature

Manash Ranjan Sahoo  1 , Manoj S Gowda, Syam Sundar Behera
Affiliations
Review

Unusual site and uncommon presentation of epidermoid cyst: a rare case report and review of literature

Manash Ranjan Sahoo et al. BMJ Case Rep. .

Abstract

Epidermoid cyst of gastrointestinal tract is very rare, and only a few cases of epidermoid cyst of the caecum have been reported in the literature. We report the first case of epidermoid cyst of the caecum in an elderly man, mimicking mesenteric cyst clinically. It was treated by laparoscopic excision of the cyst. The cyst was spherical, extending from and expanding the serosal surface of the caecum with no communication through the muscularis wall. Histologically, the inner lining of the cyst was composed of benign, mature, keratinised and stratified squamous epithelium with a well-formed granular layer. On opening, the cyst contained pultaceous cheesy material. No calcification, hair, teeth or bone elements were detected.

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Figures

Figure 1
Figure 1
Contrast enhanced computed tomography scan picture showing mass adherent to the caecum.
Figure 2
Figure 2
Diagnostic lap picture of caecal epidermoid cyst.
Figure 3
Figure 3
Epidermoid cyst dissected free of the caecum.
Figure 4
Figure 4
Greyish white cheesy material coming out of the cyst.
See this image and copyright information in PMC

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