Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
A Case of Epidermoid Cyst of the Cecum Treated by Laparoscopic Resection
Ryoji KaizakiToru InoueSatoshi TakatsukaTadashi Tsukamoto
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2020 Volume 45 Issue 6 Pages 800-806

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Abstract

A 46-year-old woman underwent surgery for right ovarian tumor. However, while the right ovary was found to be normal, a cecal tumor was detected. Therefore, she was referred to the department of surgery for further examination. Abdominal MRI and CT revealed a cystic lesion measuring 50 mm in diameter on the right side of the pelvic cavity. Colonoscopy showed a submucosal tumor of the cecum. Laparoscopically, the cecal tumor was found to not be adherent to the surrounding structures. We performed ileocecal resection. The tumor measured 50 × 55 mm in size and was soft and rubbery in consistency. Microscopically, it was found to be a unilocular cyst filled with keratin and lined by stratified squamous epithelium without appendages. We diagnosed the lesion as an epidermoid cyst.

While epidermoid cysts in the abdomen have been reported, epidermoid cyst of the cecum is very rare. We report this case with a review of the literature.

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© 2020 Japanese College of Surgeons
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