Abstract
IntroductionIbadan, Nigeria, has a very high rate of complications of male circumcision. In a previous survey, redundant or excessive loss of foreskin, skin bridges and injury to the glans penis were the major types of complications identified. Epidermal inclusion cyst complicating neonatal male circumcision appears to be extremely rare, and an extensive search of all databases revealed no reports in the recent literature.Case presentationIn 1992, a 10-year-old boy was seen at the urology outpatients clinic presenting with a globular swelling in the penile skin located at the ventral surface proximal to the coronal sulcus. The histology of the excised mass revealed an epidermal inclusion cyst. Since then, he has remained healthy.ConclusionsEpidermal inclusion cyst complicating male neonatal circumcision is extremely rare. The diagnosis is easy and a simple total excision is curative.
Highlights
Ibadan, Nigeria, has a very high rate of complications of male circumcision
Epidermal inclusion cyst complicating neonatal male circumcision appears to be extremely rare, and an extensive search of all databases revealed no reports in the recent literature
Case presentation: In 1992, a 10-year-old boy was seen at the urology outpatients clinic presenting with a globular swelling in the penile skin located at the ventral surface proximal to the coronal sulcus
Summary
Neonatal circumcision is a common practice in Nigeria [1]. unlike other parts of the world where the incidence of complications arising from this procedure ranges between 0.19% and 3.1% [2,3], Nigeria has a rather high complication rate of 20.2% [1]. The swelling was located at the ventral aspect of the penis along the circumcision scar (Figure 1). The swelling was located at the ventral surface of the penis, just proximal to the coronal sulcus It was globular in shape, measuring about 1 cm by 0.4 cm and had the circumcision scar running over it. The term ‘epidermal inclusion cyst’ has been used interchangeably with ‘epidermal cyst’ and ‘epidermoid cyst’ in the medical literature These cysts result from the proliferation of epidermal cells within a circumscribed space of the dermis and appear as firm, round, mobile, subcutaneous nodules of variable size. A central pore or punctum that may tether the cyst to the overlying epidermis is an inconsistent finding This was not present in this patient but his cyst was tethered to his circumcision scar.
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