An epidermal inclusion cyst rarely occurs at the vaginal cuff, whereas it sometimes develops at the vulva and the site of episiotomy due to entrapment of the squamous epithelium. We present the case of a 58-year-old woman who developed an epidermal cyst at the vaginal cuff 6 years after laparoscopic hysterectomy. Although we could not make a precise diagnosis at imaging before the operation, the cyst was completely removed at laparoscopic surgery without any complications. To our knowledge, this is the first report of an epidermal inclusion cyst at the vaginal cuff that was successfully treated at laparoscopic surgery. Laparoscopic surgery was useful in magnifying the surgical field and in delicate manipulation of various devices to resect this pelvic floor tumor that required adhesiolysis of surrounding organs.
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