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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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Bibliographic Details
Published in:Research and reports in urology 2022, Vol.14, p.57-61
Main Authors: Issack, Feysel Hassen, Hassen, Seid Mohammed, Mummed, Ferid Ousman, Gebreselassie, Kaleab Habtemichael, Hassen, Seid Kedir, Hassen, Ibsa Kedir
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.
ISSN:2253-2447
2253-2447
DOI:10.2147/RRU.S356738