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Pilimiction, a Rare Presentation of Ovarian Teratoma: A Case Report

BACKGROUND: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine). CASE PRESENTATION: We report a case of a 42-year-old woman who presen...

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Detalles Bibliográficos
Autores principales: Issack, Feysel Hassen, Hassen, Seid Mohammed, Mummed, Ferid Ousman, Gebreselassie, Kaleab Habtemichael, Hassen, Seid Kedir, Hassen, Ibsa Kedir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898156/
https://www.ncbi.nlm.nih.gov/pubmed/35257005
http://dx.doi.org/10.2147/RRU.S356738
Descripción
Sumario:BACKGROUND: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine). CASE PRESENTATION: We report a case of a 42-year-old woman who presented with pilimiction and lower abdominal pain. Contrast-enhanced computed tomography scan (CECT) and cystoscopy were used for the diagnosis. Tumor markers were negative. Right side salpingo-oophorectomy and partial bladder wall excision were performed. Histopathology of the specimen showed features consistent with mature teratoma. The patient reported improvement of symptoms in the subsequent follow-up visits. CONCLUSION: Pilimiction is a pathognomonic sign of bladder teratomas. This case represents a rare complication of ovarian teratoma. Therefore, a high index of suspicion is required in patients with ovarian teratoma presenting with urinary complaints. Transurethral resection is associated with a high recurrence rate and is not recommended for secondary bladder teratomas.