Benign epididymal neoplasms are rare in children.

•Epidermoid cysts are rarely seen in the paratesticular region.

•This is the first case of epidermoid cyst of the epididymis.

•This is the first case of epidermoid cyst arising from the paratesticular region in children.

Benign epididymal neoplasms are rare in children. While epidermoid cysts commonly occur in the testis, scrotum, and foreskin, they are only rarely found in the paratesticular region. We present the first reported case of an epidermoid cyst arising from the epididymis in a 3-year-old boy. Testis-sparing surgery was performed to obtain a definitive diagnosis.

Paratesticular tumor

Epididymis

Epidermoid cyst

Children

Testis-sparing

© 2025 The Authors. Published by Elsevier Inc.