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A cyst typically presents as a pea-sized lump anywhere on the body. Cysts are usually painless but there is a possibility of developing an infection in the cyst. Such a cyst is known as an infected cyst, and is filled with pus. An infected perianal cyst typically presents with perianal soreness, swelling, and tenderness. an anal abscess is a painful condition in which a collection of pus develops near the anus. Most anal abscesses are a result of infection from small anal glands. A sebaceous cyst begins when the oils produced by the sebaceous gland otherwise known as sebum cannot escape to the surface of the skin. Cysts are abnormalities in the body that may contain liquid or semiliquid material. Kulayat et al reported that three out of 97 anal duct cyst cases had perianal involvement. 2 however, these cysts occur more commonly in the presacral, precoccygeal, and retrorectal spaces or high in the anterior or posterior anal canal. They occur most frequently on the head and neck but can arise anywhere on the body. Here we present an unusual case of an epidermal cyst arising in the intersphincteric plane of the anal canal. To our knowledge this is the only case of an epidermal cyst in this location reported in the literature. Sebaceous cysts, or skin cysts, are slightly hardened, fluid-filled bumps within the skin. They range from pea-sized, at about 1 centimeter across to around 5 centimeters across. dumbs been plagued by a rotten cheese smell emanating from his ass for over year.