Precoccygeal epidermal inclusion cyst presenting as coccygodynia

Jaiswal A, Shetty AP, Rajasekaran S
Correspondence: Dr S Rajasekaran, sr@gangahospital.com

ABSTRACT
Although there are numerous aetiologies for coccygodynia described in the medical literature, precoccygeal epidermal inclusion cyst presenting as a coccygodynia has not been reported. We report a 30-year-old woman with intractable coccygodynia. Magnetic resonance imaging showed a circumscribed precoccygeal cystic lesion. The removed cyst was pearly-white in appearance and contained cheesy material. Histological evaluation established the diagnosis of epidermal inclusion cyst with mild nonspecific inflammation. The patient became asymptomatic and remained so at two years follow-up. This report suggests that precoccygeal epidermal inclusion cyst should be considered as one of the differential diagnosis of coccygodynia. Our experience suggests that patients with intractable coccygodynia should have a magnetic resonance imaging to rule out treatable causes of coccygodynia.

Keywords: coccygodynia, coccyx, epidermal inclusion cyst, precoccygeal epidermal inclusion cyst
Singapore Med J 2008; 49(8): e212-4