Abstract
<h3>To the Editor.—</h3> A defect during the complex embryological development of the sacrococcygeal area may give rise to a wide variety of lesions. The lesions presenting in the pediatric age group include benign and malignant teratomas, duplication cysts, anterior myelomeningoceles, neurogenic tumors, and, rarely, chordomas.<sup>1</sup>Sacrococcygeal epidermoid cysts have been reported mainly in the female adult and are uncommonly encountered in pediatric practice.<sup>2,3</sup>A 4-year-old male child with a precoccygeal epidermoid cyst is the subject of this case report. <h3>Report of a Case.—</h3> A 4-year-old Negro boy was admitted on Feb 16, 1969. to the pediatric surgical service of the Jefferson Medical College Hospital because of a posterior rectal mass. Six days before, during evaluation for nausea, vomiting, and abdominal pain, the mass was palpateld on rectal examination. The child's symptoms regressed spontaneously after 24 hours, and he remained asymptomatic until admission. A history of intermittent constipation since
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