Abstract
BackgroundEpidermoid cyst arising from the cecum is extremely rare. Single-incision laparoscopic surgery is the latest innovation in minimally invasive surgery, and shortens incisions, improves cosmesis, and reduces postoperative pain. We report here the first description of a patient with epidermoid cyst of the cecum treated by ileocecal resection by single-incision laparoscopic surgery.Case presentationA 20-year-old woman presented to our hospital with abdominal pain in the right lower quadrant. Abdominal contrast-enhanced computed tomography showed a 56 × 35-mm cystic mass in the ileocecal area. Magnetic resonance imaging revealed a 56 × 43-mm, T1-hypointense, T2-hyperintense mass attached to the cecum. Gastrointestinal tumor or duplication cyst was suspected, and ileocecal resection was performed using single-incision laparoscopic surgery. Intraoperative examination showed the tumor as a round, whitish mass arising from the cecum. Operation time was 162 min, and intraoperative blood loss was 10 ml. Macroscopic examination showed a 56 × 45-mm elastic-hard, whitish, round mass arising from the cecal wall. Microscopic examination revealed the cyst wall lined by keratinized stratified squamous epithelium. No malignant findings were identified. The final diagnosis was epidermoid cyst of the cecum. The postoperative course was uneventful and she was discharged on postoperative day 5.ConclusionsA rare case of cecal epidermoid cyst is reported. Single-incision laparoscopic colectomy using an organ retractor represents a promising option for treating cecal epidermoid cyst.
Highlights
Epidermoid cyst arising from the cecum is extremely rare
Single-incision laparoscopic colectomy using an organ retractor represents a promising option for treating cecal epidermoid cyst
Epidermoid cysts arising from the cecum are extremely rare [3]
Summary
Epidermoid cysts are generally considered to represent sequestered cystic malformations, and can develop in various parts of the body [1]. Epidermoid cysts arising from internal organs are rarely identified, but have been reported for the spleen, testes, liver and kidneys [2]. Epidermoid cysts arising from the cecum are extremely rare [3]. This report offers the first description of a patient with epidermoid cyst of the cecum completely resected by ileocecal resection as an SILS. Abdominal contrast-enhanced CT showed a 56 × 35-mm cystic mass with no enhancement in the ileocecal area (Fig. 1). The tumor was seen as a round, whitish mass arising from the cecum (Fig. 3). After the ileocecal artery and vein were transected, mobilization of the colon was completed by dissection of the lateral attachment. Macroscopic examination showed a 56 × 45-mm elastic-hard, whitish, round mass arising from the cecal wall (Fig. 4). As of 6 months postoperatively, no evidence of recurrence has been identified
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