# Pararectal Epidermal Inclusion Cyst in a Pediatric Patient

## TL;DR

A rare case of a pararectal epidermal inclusion cyst in a four-year-old girl is reported, diagnosed through imaging and confirmed via surgery.

## Contribution

This case highlights the unusual presentation of an epidermal inclusion cyst in a pediatric patient with a complex medical history.

## Key findings

- Imaging identified a cystic lesion and fistula in the right pararectal space.
- Histopathology confirmed the diagnosis of an epidermal inclusion cyst without malignancy.

## Abstract

Epidermal inclusion cysts, commonly found cutaneously, rarely manifest in the pelvis. They are typically asymptomatic and often occur following trauma or surgical interventions. Imaging modalities, notably computed tomography (CT) scans and magnetic resonance imaging (MRI), play a crucial diagnostic role. Herein, we report a rare case of a four-year-old female with a complicated medical and surgical history, presented with pain in the right gluteal region in the setting of past history of abscess drainage in the same area. Imaging revealed a cystic lesion in the right pararectal space and a fistula extending between the pelvic cavity and gluteal region. A laparotomy was performed, and a histopathologic examination confirmed the diagnosis of an epidermal inclusion cyst with no evidence of malignancy.