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Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling

A retrorectal epidermoid cyst is an uncommon congenital lesion that arises from the remnants of the embryonic tissues. This type of cyst is difficult to diagnose before surgery. In this study, we report a rare case of a giant retrorectal epidermoid cyst in a 30-year-old woman. Initially, the conditi...

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Detalles Bibliográficos
Autores principales: Al-Shoura, Reem, Malaekah, Haifaa, Al Bassam, Waddah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106870/
https://www.ncbi.nlm.nih.gov/pubmed/32257498
http://dx.doi.org/10.1155/2020/5750382
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author Al-Shoura, Reem
Malaekah, Haifaa
Al Bassam, Waddah
author_facet Al-Shoura, Reem
Malaekah, Haifaa
Al Bassam, Waddah
author_sort Al-Shoura, Reem
collection PubMed
description A retrorectal epidermoid cyst is an uncommon congenital lesion that arises from the remnants of the embryonic tissues. This type of cyst is difficult to diagnose before surgery. In this study, we report a rare case of a giant retrorectal epidermoid cyst in a 30-year-old woman. Initially, the condition was diagnosed as a perianal abscess and treated with incision and drainage. Since the abscess recurred, a pelvic magnetic resonance imaging was ordered, which revealed an 8.2 cm perianal cyst with appearance not compatible with an abscess. Postsurgical histologic analysis confirmed a retrorectal epidermoid cyst. Postoperative course was uneventful, and the woman was discharged on postoperative day 3. She was doing well at 4 months of follow-up. This report suggests that retrorectal cysts should be considered in cases of recurrent perianal swellings/abscesses.
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spelling pubmed-71068702020-04-06 Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling Al-Shoura, Reem Malaekah, Haifaa Al Bassam, Waddah Case Rep Surg Case Report A retrorectal epidermoid cyst is an uncommon congenital lesion that arises from the remnants of the embryonic tissues. This type of cyst is difficult to diagnose before surgery. In this study, we report a rare case of a giant retrorectal epidermoid cyst in a 30-year-old woman. Initially, the condition was diagnosed as a perianal abscess and treated with incision and drainage. Since the abscess recurred, a pelvic magnetic resonance imaging was ordered, which revealed an 8.2 cm perianal cyst with appearance not compatible with an abscess. Postsurgical histologic analysis confirmed a retrorectal epidermoid cyst. Postoperative course was uneventful, and the woman was discharged on postoperative day 3. She was doing well at 4 months of follow-up. This report suggests that retrorectal cysts should be considered in cases of recurrent perianal swellings/abscesses. Hindawi 2020-03-18 /pmc/articles/PMC7106870/ /pubmed/32257498 http://dx.doi.org/10.1155/2020/5750382 Text en Copyright © 2020 Reem Al-Shoura et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Al-Shoura, Reem
Malaekah, Haifaa
Al Bassam, Waddah
Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title_full Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title_fullStr Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title_full_unstemmed Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title_short Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling
title_sort giant retrorectal epidermoid cyst masquerading as a perianal swelling
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106870/
https://www.ncbi.nlm.nih.gov/pubmed/32257498
http://dx.doi.org/10.1155/2020/5750382
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