# Management of a rare entity; a intramuscular caecal epidermoid cyst, in the robotic surgery era: a video case report

## TL;DR

This case report describes the robotic surgical removal of a rare intramuscular caecal epidermoid cyst.

## Contribution

This is the first reported case of robotic surgery used to excise an intramuscular caecal epidermoid cyst.

## Key findings

- Only 12 cases of caecal epidermoid cysts have been reported since 1961.
- This case is the first to use robotic surgery for intramuscular caecal epidermoid cyst excision.

## Abstract

This case “Management of an intramuscular caecal epidermoid cyst in the robotic surgery era” documents the work-up and management of a rare entity, with the aid of the robotic surgery platform. There are 12 reported cases in the literature of epidermoid cysts arising from the caecum since 1961. Ranging from 8- to 75-year-olds, four of the epidermoid cysts were intramuscular, with six being subserosal. Given the rarity of this entity and the pre-operative diagnostic uncertainty, often both CT and MRI are used during pre-operative work-up. To our knowledge, this is the first reported case of intramuscular caecal epidermoid cyst excised using a robotic surgery approach.

The online version contains supplementary material available at 10.1007/s00384-026-05104-y.