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March 21, 1925


Author Affiliations

From the West Suburban Hospital, Oak Park, Ill.

JAMA. 1925;84(12):874-876. doi:10.1001/jama.1925.02660380010002

As far as we are able to learn from the literature, we are presenting the first reported case of intestinal cholesteatoma (epidermoid). This is rather puzzling, because twelve cases of dermoid cysts, which, from a histogenetic point of view, stand close to epidermoids, are reported in the region of the colon, and about twenty more in the mesentery of the small intestine.1 Cases of ovarian dermoid cysts are sometimes localized quite close to the intestine.

Under the name cholesteatoma, two different things are understood. First there are rare cystic tumors with thin epithelial lining and a silvery content, which is formed of epithelial cells and cholesterol tablets. Such tumors are found in the skull, the spinal cord and very rarely in the cranial bones—frontal sinuses 2—and temporal bones. These are supposed to be true tumors originating from meninges or displaced embryonic epidermic germs. At some place in the