Department of Surgery, General and Bariatric Surgical Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova, 1, 50122, Florence, Italy.
Department of Pathology, San Giovanni di Dio Hospital, Florence, Italy.
Clin J Gastroenterol. 2021 Dec;14(6):1746-1748. doi: 10.1007/s12328-021-01496-2. Epub 2021 Aug 17.
Epidermoid cysts of the gastrointestinal tract are very uncommon and the published literature on this subject is anecdotal. We report the case of a 51-year-old man who was diagnosed with a cystic neoplasm located close to the cecum and the appendix. Given the strong suspicion of an appendiceal mucocele, the patient underwent a laparoscopic exploration. During the operation, a semisolid mass appearing to originate from the cecal wall was identified and a laparoscopic ileo-cecal resection was performed. The pathological diagnosis was an epidermoid cyst of the cecum. An epidermoid cyst of the cecum is a rare entity that usually has a mild and aspecific clinical picture. However, it should be included in the differential diagnosis of an occasionally diagnosed peri-cecal cystic lesion.
胃肠道表皮样囊肿非常罕见,关于该主题的已发表文献也只是一些零星报道。我们报告了一例 51 岁男性患者,他被诊断出患有位于盲肠和阑尾附近的囊性肿瘤。鉴于强烈怀疑阑尾黏液囊肿,患者接受了腹腔镜探查。在手术过程中,发现一个似乎起源于盲肠壁的半固态肿块,并进行了腹腔镜回盲肠切除术。病理诊断为盲肠表皮样囊肿。盲肠表皮样囊肿是一种罕见的实体,通常具有轻微和非特异性的临床表现。然而,它应该被纳入偶尔诊断的盲肠周围囊性病变的鉴别诊断中。