World Journal of Medical and Surgical Case Reports Volume No 8

Case Report Open Access

Caecal epidermoid cyst in an otherwise healthy young man: A case report and review of literature.

Abtar Houssam, haddad Johnny, Aoun Charbel, Mhana Tarek and Mochairefa Haytham
World Journal of Medical and Surgical Case Reports 2019, 8:2

Abstract

Introduction

Epidermoid cysts of the abdominal organs (spleen, liver, and kidney) are known pathologies. Two varieties of epidermoid cyst are described, acquired and congenital. These lesions are diagnosed all the time after pathological evaluation.
 

Case Presentation

Hereby, we report a case of a 23-year-old man, with an unremarkable previous medical history, who presented for chronic vague lower abdominal pain of several weeks duration associated with generalized fatigue and a non-significant weight loss. On physical exam a palpable right lower quadrant mass was noted which turned to be caecal epidermoid cyst on final pathology after surgical excision.

Conclusion

Caecal epidermoid cyst is an extremely rare entity with only few reported cases have been described in the literature. On radiological imaging (computed tomography, magnetic resonance imaging) these lesions look like a cystic mass and can be mistaken as mesenteric cyst, cystic lymphangioma or gastro intestinal stromal tumor.

Keywords

Caecum, epidermoid cyst, hemicolectomy




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