-Case Reports-

A Complicated Case of Pregnancy Involving a Presacral Epidermoid Cyst

Daisuke Shigemi¹, Seiryu Kamoi¹, Akihisa Matsuda² and Toshiyuki Takeshita³

¹Department of Obstetrics and Gynecology, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
²Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
³Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan

Although presacral developmental cysts, including epidermoid cysts, are relatively rare diseases, an intrapelvic mass found for the first time in early pregnancy should be followed-up with the possibility of presacral developmental cysts in mind to be alert to the signs of local infection and malignancy. We treated a pregnant patient with presacral cystic disease. During pregnancy, percutaneous fenestration was performed because the cyst caused severe compression symptoms and complicated bacterial infection. Laparoscopic total cyst excision was performed after cesarean section. There is no suggested criterion to make a decision for the delivery mode. The mass should be removed completely to reduce the risk of recurrence and malignant progression.

J Nippon Med Sch 2017; 84: 100-104

Keywords
epidermoid cyst, pregnancy, presacral developmental cyst

Correspondence to
Daisuke Shigemi, MD, Department of Obstetrics and Gynecology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba 270-1694, Japan
dshigemi@nms.ac.jp

Received, May 14, 2016
Accepted, February 23, 2017