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305483

Extra-testicular Intra-scrotal Median Raphe Epidermoid Cyst Mimicking Polyorchidism in a Child

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Last updated: 25 Dec 2024

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Abstract

Epidermoid cysts are encapsulated sebaceous cysts that contain keratin. They present at any age, yet they are commoner in adults. They mainly affect face, neck, trunk and to a lesser extent groin, but can potentially arise as a subepidermal nodule anywhere on the body. They develop from the follicular infundibulum, and are different from dermoid cysts as epidermoid cysts do not contain other adnexal structures of embryonic origin. Epidermoid cysts are mostly silent but can rupture, get inflamed, become infected or develop daughter cysts. Very rarely epidermoid cysts develop in proximity to testicles. They can be mistaken for a testicular tumor. The pre- operative diagnosis is essential to avoid unindicated testicular surgery. Magnetic resonance imaging (MRI) is vital for diagnosis. We report a 6-year-old child with a long standing painless scrotal swelling thought by the parents to be polyorchidism. They were alarmed by its recent rapid growth. By examination it was a median raphe cyst. Pre-operative imaging and operative surgical removal proved it to be an inflamed epidermoid cyst. The surgery was uncomplicated and the child had an uneventful recovery. Testicular epidermoid cysts in children are exceptionally rare, yet they can present as median raphe cysts. Inflammation within the epidermoid cyst presents clinically as rapid painless growth. Clinical examination, high index of suspicion and pre-operative MRI avoid unnecessary testicular surgery.

DOI

10.21608/cupsj.2023.212172.1094

Keywords

Epidermoid cyst, children, polyorchidism, painless scrotal swelling

Authors

First Name

Alaa

Last Name

obeida

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

alaa.obeida@gmail.com

City

-

Orcid

-

First Name

Heba

Last Name

Taher

MiddleName

M.

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, EgyptCairo University

Email

hebatallah.taher@kasralainy.edu.eg

City

-

Orcid

https://orcid.org/00

First Name

Basma

Last Name

Magdy

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

basmamagdy@gmail.com

City

-

Orcid

-

First Name

Moustafa

Last Name

Gad

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

mostafa.gad@gmail.com

City

-

Orcid

-

First Name

Amjad

Last Name

Nayef

MiddleName

-

Affiliation

Department of Histopathology, Om Elmasreen Hospital, Ministry of Health, Giza, Egypt

Email

amjad.nayef@gmail.com

City

-

Orcid

-

First Name

Sherifa

Last Name

Tawfik

MiddleName

-

Affiliation

Department of Histopathology, Faculty of Medicine, University of Zambia, Zambia

Email

tsherifa1@yahoo.com

City

-

Orcid

-

First Name

Mohannad

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

mohamad.ahmed@gmail.com

City

-

Orcid

-

First Name

Abdullah

Last Name

Amr

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

abdullah.amr@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Elbarbary

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

mohamed.elbarbary@gmail.com

City

-

Orcid

-

First Name

Magd

Last Name

Kotb

MiddleName

Ahmed

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

magdkotb@hotmail.com

City

Cairo

Orcid

0000-0003-2118-3793

First Name

saad

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Azhar University, Egypt

Email

saadmohaly1985@gmail.com

City

-

Orcid

-

First Name

Khaled

Last Name

Abdullateef

MiddleName

S

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

khaled.salah@kasralainy.edu.eg

City

-

Orcid

-

Volume

3

Article Issue

2

Related Issue

42162

Issue Date

2023-07-01

Receive Date

2023-05-20

Publish Date

2023-07-01

Page Start

119

Page End

125

Print ISSN

2805-279X

Online ISSN

2682-3985

Article File

CUPSJ_Volume 3_Issue 2_Pages 119-125.pdf

PDF . 2.3MB

Link

https://cupsj.journals.ekb.eg/article_305483.html

Detail API

https://cupsj.journals.ekb.eg/service?article_code=305483

Order

305,483

Type

Case Report

Type Code

1,279

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

MainTitle

Extra-testicular Intra-scrotal Median Raphe Epidermoid Cyst Mimicking Polyorchidism in a Child

Details

Type

Article

Created At

25 Dec 2024