Abstract

To the Editor:— Recently I have had the opportunity to observe the third reported case of epidermoid cyst in the cecum. Only two other references were found in the literature. 1,2 A 27-year-old woman had been complaining of intermittent pain in the right lower abdominal quadrant for one year. A diagnosis of chronic appendicitis was made and the patient was operated on, but the appendix was normal. The pain persisted. On x-ray examination a right ovarian cyst was diagnosed, and the patient was operated on for the second time; the right ovary was normal. However, the cecum was markedly enlarged; it was excised along with the appendix and the adjacent part of the ileum. The postoperative course was normal. Grossly, the surgical specimen (kept in the museum of the pathology department, No. 4025/1964/72,-847) consisted of the cecum with the appendix and the adjacent part of the ileum, the latter being

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