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Pilimiction, a Rare Presentation of Ovarian Teratoma: A Case Report
BackgroundAdnexal 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 PresentationWe report a case of a 42-year-old woman who presented...
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Published in: | Research and reports in urology 2022, Vol.14, p.57-61 |
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Main Authors: | , , , , , |
Format: | Report |
Language: | English |
Online Access: | Get full text |
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Summary: | BackgroundAdnexal 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 PresentationWe 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. ConclusionPilimiction 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. |
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ISSN: | 2253-2447 2253-2447 |
DOI: | 10.2147/RRU.S356738 |