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Laparoscopic management of epidermoid cyst in an unusual location
  1. Sindhuja Kesavan1,
  2. Ramakrishnan Parthasarathi2,
  3. Prakhar Gupta2 and
  4. Chinnusamy Palanivelu3
  1. 1 Pathology, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India
  2. 2 Surgical Gastroenterology, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India
  3. 3 Minimally Invasive and G.I. Surgery, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India
  1. Correspondence to Dr Chinnusamy Palanivelu, info{at}


The pararectal space or presacral space is a potential site for various cysts and tumours because it consists of many types of embryonic tissues. Although epidermoid cyst is a well-known entity, encountering a pararectal epidermoid cyst is relatively rare. The incidence of cystic tumours in the pararectal space has been reported to be 1 in 40 000 to 63 000 patients. Most of the tumours are asymptomatic and are incidentally discovered during routine imaging studies. Herein, we report a case of pararectal epidermoid cyst in a 51-year-old woman which was managed laparoscopically in a gastroenterology institute in South India.

  • gastroenterology
  • general surgery
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  • Patient consent for publication Obtained.

  • Contributors SK: conception and analysis of work. RP: interpretation and manuscript revision. PG: drafting manuscript. CP: final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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