Epidermoid cyst in inguinal canal: A rare presentation

An 8-year-old male presented for evaluation of symptoms consistent with appendicitis. Upon laparoscopy, the patient was found to have appendicitis with a concomitant Amyand hernia. The latter pathology highlights a rare presentation of inguinal hernias in which the vermiform appendix herniates into the inguinal canal. Inguinal hernias are frequently encountered in pediatric populations; however, Amyand hernias have seemingly negligible incidence in all age demographics. These comprise roughly 1% of all diagnosed abdominal hernias. When seen in concurrence with appendicitis, the incidence is 0.13%. Recent literature has sought to classify types of Amyand hernias and criteria described by Losanoff and Basson is an attempt to guide surgical management. Although our management did not coincide with the proposed management above, the patient made a full recovery. In conclusion, Amyand hernias remain a rare entity that can be indistinguishable from routine inguinal hernias on clinical examination and management of Amyand hernia with appendicitis is not well defined.

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Giant Epidermoid Cyst of Scalp – A Rare Presentation

The Internet Journal of Surgery ◽

10.5580/2cfe ◽

2013 ◽

Vol 29 (1) ◽

Keyword(s):

Epidermoid Cyst ◽

Rare Presentation

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A Rare Presentation of Epidermoid Cyst

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000001962 ◽

2015 ◽

Vol 26 (6) ◽

pp. e552-e553

Author(s):

Fatih Sari ◽

Selvet Erdogan

Keyword(s):

Epidermoid Cyst ◽

Rare Presentation

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Epidermoid Cyst in an Infected Olecranon Bursa

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1701149 ◽

2020 ◽

Vol 12 (02) ◽

pp. 128-129

Author(s):

Andrew Brash ◽

Kevin Dunham ◽

Ronit Wollstein

Keyword(s):

Epidermoid Cyst ◽

Inflammatory Process ◽

Follicular Epithelium ◽

Preoperative Imaging ◽

Rare Presentation ◽

Incision And Drainage ◽

Epidermoid Cysts ◽

Elbow Trauma ◽

Olecranon Bursitis ◽

History Of

AbstractEpidermoid cysts are common, benign cysts that form due to follicular epithelium implanting into the dermis. Although these cysts are often painless, they can incite an inflammatory process as well as abscess formation, especially if ruptured. Our case involves a 59-year-old woman with a history of remote elbow trauma diagnosed with septic olecranon bursitis with concomitant epidermoid cyst found on histology following incision and drainage (I&D). Due to the rare presentation and inadequate preoperative imaging, the diagnosis of epidermoid cyst was not made prior to surgery, resulting in incomplete enucleation.

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SAT-LB312 Central Diabetes Insipidus as Presenting Manifestation of Suprasellar Epidermoid Cyst

Journal of the Endocrine Society ◽

10.1210/jendso/bvaa046.2032 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

Author(s):

Samia Abdullah Bokhari

Keyword(s):

Diabetes Insipidus ◽

Epidermoid Cyst ◽

Mass Effect ◽

Cystic Mass ◽

Central Diabetes Insipidus ◽

Neural Tube Closure ◽

Visual Field Defects ◽

Sellar Region ◽

Rare Presentation ◽

Surrounding Areas

Abstract Back Ground: Epidermoid cysts (ECs) result from the inclusion of squamous epithelial elements during neural tube closure. ECs are tumors constituting 02-1.8% of all brain tumors. ECs are typically found in cerebellopontine angle, but occasionally develop in sellar region. ECs are usually clinically silent, but may produce signs of mass effect as headaches, visual field defects. ECs presenting with Central Diabetes insipidus is reported but rare. Only two cases were reported in literature (Ref: 1).Here we report a case of sellar Epidermoid cyst presenting with Diabetes insipidus. Case Description: 49-year male presented with one-month history of polyuria, polydipsia and weight loss. The initial work up identified normal blood glucose, serum calcium and renal function. The water deprivation test confirmed the diagnosis of central Diabetes insipidus. Further pituitary hormonal assessment revealed panhypopituitarism along with diabetes insipidus. The MRI of brain showed evidence of large sellar supracellar cystic mass with a differential diagnosis of craniopharyngioma, Rathkeys cyst. Surgery performed in order to remove the tumor. The pathological report confirmed the tumor as epidermoid cyst. He did well through hospital stay. DI and along with panhypopituitarism persisted post operatively and treated with hormonal replacement. Conclusion: ECs of sellar region vary in presentation depending upon their location, and extension into surrounding areas producing mass effects. Diabetes Insipidus is a rare presentation in these rare tumors. References: 1: CW huo, C Caputo,YY Wang: Supracellar keratinous cyst: A case report and review on its radiological features and treatment: Surgical Neurology International 2018,9;15

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Retroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2021.1.64 ◽

2021 ◽

Vol 93 (1) ◽

pp. 64-67

Author(s):

Alessio Antonaci ◽

Daniela Fasanella ◽

Vikiela Galica ◽

Nicola Tinari ◽

Jamara Giampietro ◽

...

Keyword(s):

Case Report ◽

Testicular Cancer ◽

Multidisciplinary Approach ◽

Inguinal Canal ◽

Rare Presentation ◽

Histologic Diagnosis ◽

Testicular Seminoma ◽

Urological Malignancies ◽

Abdominal Ct Scan ◽

Testis Tumour

Introduction: Testicular cancers represent about 5% of all urological malignancies and 1-1.5% of all male neoplasms. Most of the testicular cancers are localized (68%) at diagnosis. Bulky masses in the scrotum are rare. We present a rare case of bulky testicular cancer with retroperitoneal spread through the inguinal canal. Case report: A 44-year-old man came to the emergency department referring weakness and the presence of a scrotal mass. At physical examination, a voluminous mass was found, with necrotic phenomena within the scrotum. Abdomen was tense and sore. Abdominal CT scan revealed a bulky testicular mass spreading to the retroperitoneal space through the inguinal canal with node enlargement. Patient underwent orchiectomy with excision of infiltrated scrotum skin. Histologic diagnosis confirmed a typical form seminoma. The patient was then treated with a cisplatin-based chemotherapy, with a partial response. The patient recently relapsed and he is being treated with a new line of chemotherapy and subsequent surgery with or without radiotherapy. Conclusions: We described a rare presentation of testicular cancer. This case highlights the importance of a multidisciplinary approach to rare testis tumour presentation and early diagnosis for testicular cancers.

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A rare presentation of small diaphragmatic epidermoid cyst with extremely elevated serum CA19-9 level

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2019.0110 ◽

2020 ◽

Vol 102 (2) ◽

pp. e23-e25

Author(s):

M El-Khoury ◽

A Bohlok ◽

YA Sleiman ◽

P Loi ◽

E Coppens ◽

...

Keyword(s):

Epidermoid Cyst ◽

Elevated Serum ◽

Surgical Excision ◽

Definitive Diagnosis ◽

The Body ◽

Intraluminal Pressure ◽

En Bloc ◽

Rare Presentation ◽

Epidermoid Cysts ◽

Complete Surgical Excision

Epidermoid cysts are rare lesions that can occur anywhere in the body. They are associated with elevated serum levels of CA 19-9. The spleen represents the most common site of intra-abdominal localisation. Only two cases of diaphragmatic epidermoid cyst are reported in the literature. We present the case of a 61-year-old woman with a small suprasplenic subdiaphragmatic cyst discovered during the investigation of left flank pain. The establishment of an adequate diagnosis was challenging due to the difficulty in specifying the exact localisation of the cyst, the extremely elevated CA 19-9 level of 19,000 and the high uptake on 18-fluoro-2-deoxy-D-glucose positron emission tomography. The definitive diagnosis followed complete surgical excision. Intra-abdominal epidermoid cysts are usually discovered incidentally on imaging for another reason. The cyst is lined by squamous epithelium responsible for the secretion of CA 19-9. The elevation of serum CA 19-9 is due to small rupture or increased intraluminal pressure followed by diffusion to the bloodstream. Surgery with en-bloc resection represents the optimal treatment to avoid any risk of recurrence. The definitive diagnosis is established by demonstrating positive immunohistopathological staining of epithelial cell to CA 19.9.

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Sublingual Epidermoid Cyst: A Rare Presentation

International Journal of Advanced and Integrated Medical Sciences ◽

10.5005/jp-journals-10050-10061 ◽

2016 ◽

Vol 1 (4) ◽

pp. 194-195

Author(s):

Leena Jain ◽

Ashish K Maurya ◽

Shalini Jadia ◽

Sadat Qureshi

Keyword(s):

Blood Vessels ◽

Local Anesthesia ◽

Epidermoid Cyst ◽

Squamous Epithelium ◽

Histopathological Examination ◽

Subcutaneous Fat ◽

The Body ◽

Rare Presentation ◽

Cystic Wall ◽

Slow Growing

ABSTRACT Infection of pilo-sebacious gland or traumatic migration of epidermis to the deeper layers of the skin can lead to epidermoid cyst. Any site of the body which is lined by squamous epithelium can be the site of epidermoid cyst. We present a case of sublingual epidermoid cyst in a 14-year-old female, who presented with a slow-growing, soft, midline swelling in submental region. Cyst was excised under local anesthesia with sedation. Histopathological examination revealed a cystic wall lined by keratinizing squamous epithelium with lamellated keratin and fibrocollagenous tissue with congested blood vessels, along with subcutaneous fat and muscle bundles, which is suggestive of epidermoid cyst. How to cite this article Maurya AK, Jadia S, Jain L, Qureshi S. Sublingual Epidermoid Cyst: A Rare Presentation. Int J Adv Integ Med Sci 2016;1(4):194-195.

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