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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2022; 05(01): 055-057
DOI: 10.1055/s-0041-1731966
Case Report

Magnetic Resonance Imaging in Giant Perianal Epidermoid

Aruna Raman Patil
1   Department of Radiology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Amit Bansal
2   Department of Surgical Gastroenterology, Apollo Hospitals, Bengaluru, Karnataka, India
,
Nilotpal Chakma
3   Department of Gastrosurgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Ravishankar Bhat
3   Department of Gastrosurgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Swarna Shivakumar
4   Department of Pathology, Apollo Hospitals, Bengaluru, Karnataka, India
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Abstract

Perianal epidermoid cyst is a rare entity and is commonly diagnosed late owing to its slow-growing nature. Imaging plays a vital role in diagnosis and differentiation from other cysts such as dermoid, tailgut, and rectal duplication cysts. Magnetic resonance imaging (MRI) is the preferred modality as uncomplicated cases show typical signal changes. Diffusion-weighted imaging has a definite additional role. We report a case of a giant perianal epidermoid diagnosed on MRI and successfully managed surgically.

Keywords

epidermoid - perianal - magnetic resonance imaging - presacral - cyst - developmental


Publication History

Article published online:
05 August 2021

© 2021. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Dahan H, Arrivé L, Wendum D, Docou le Pointe H, Djouhri H, Tubiana J-M. Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 2001; 21 (03) 575-584
    CrossrefPubMedGoogle Scholar
  • 2 Yang DM, Yoon MH, Kim HS. et al. Presacral epidermoid cyst: imaging findings with histopathologic correlation. Abdom Imaging 2001; 26 (01) 79-82
    CrossrefPubMedGoogle Scholar
  • 3 Jha A, Khalid M, Gupta P, Saud M, Gupta G. Presacral epidermoid cyst in an elderly female, mistaken for ovarian cystadenoma. J Obstet Gynaecol India 2014; 64 (Suppl. 01) 118-120
    CrossrefPubMedGoogle Scholar
  • 4 Gaud U, Goyal T, Shukla M, Kumar V, Pandey M. Synchronous occurrence of adenocarcinoma of the rectum with squamous cell carcinoma of a retrorectal cyst: report of a case and review of the literature. BMJ Case Rep 2009; 2009 DOI: DOI: 10.1136/bcr.12.2008.1398.
    CrossrefPubMedGoogle Scholar
  • 5 Al- Shoura R, Malaekah H, Al Bassam W. Giant retrorectal epidermoid cyst masquerading as a perianal swelling. Case Rep Surg 2020; 2020 DOI: DOI: 10.1155/2020/5750382.
    CrossrefPubMedGoogle Scholar
  • 6 Kim H, Kim JH, Lim JS. et al. MRI findings of rectal submucosal tumors. Korean J Radiol 2011; 12 (04) 487-498
    CrossrefPubMedGoogle Scholar
  • 7 Nicolay S, De Schepper A, Pouillon M. Epidermal inclusion cyst of the perianal region. JBR-BTR 2014; 97 (03) 166-167
    PubMedGoogle Scholar
  • 8 Turkay R, Caymaz I, Yildiz B, Livaoglu A, Turkey B, Bakir B. A rare case of epidermoid cyst of perineum: diffusion-weighted MRI and ultrasonography findings. Radiol Case Rep 2015; 8 (01) 593 DOI: 10.2484/rcr.v8i1.593.
    CrossrefPubMedGoogle Scholar
  • 9 Hain KS, Pickhardt PJ, Lubner MG, Menias CO, Bhalla S. Presacral masses: multimodality imaging of a multidisciplinary space. Radiographics 2013; 33 (04) 1145-1167
    CrossrefPubMedGoogle Scholar
  • 10 Yang DM, Park CH, Jin W. et al. Tailgut cyst: MRI evaluation. AJR Am J Roentgenol 2005; 184 (05) 1519-1523
    CrossrefPubMedGoogle Scholar
  • 11 Hosseini-Nik H, Hosseinzadeh K, Bhayana R, Jhaveri KS. MR imaging of the retrorectal-presacral tumors: an algorithmic approach. Abdom Imaging 2015; 40 (07) 2630-2644
    CrossrefPubMedGoogle Scholar
  • 12 Duclos J, Maggiori L, Zappa M, Ferron M, Panis Y. Laparoscopic resection of retrorectal tumors: a feasibility study in 12 consecutive patients. Surg Endosc 2014; 28 (04) 1223-1229
    CrossrefPubMedGoogle Scholar