Cecal Epidermoid Inclusion Cyst

A RARE CASE PRESENTATION AND SURGICAL MANAGEMENT

Abstract

We present a case of a 27-year-old male who presented with sudden onset right lower abdominal pain, associated with vomiting and loss of appetite. Clinical examination and diagnostic investigations led to a diagnosis of appendicular perforation. Intraoperative findings revealed a cecal lump about 10cm * 10cm with unhealthy gangrenous patches and pelvic collection, for which a right hemicolectomy was performed without a covering stoma. The patient had an uneventful recovery, and the histopathological analysis confirmed the diagnosis of a ceacal epidermoid inclusion cyst which is a very rare disease. These cysts may be confused with other intraabdominal cystic lesions, including mesenteric cysts, lymphatic cysts, appendiceal mucoceles or duplication cysts. We discuss the rarity of this case, Only ten such cases have been reported so far in the whole world and we are reporting the 11th case and presenting the challenges encountered in its diagnosis and management.

Categories: Pathology, General Surgery, Therapeutics