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

Abstract

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.

Epididymo-Orchitis: A Rare Manifestation of Tuberculosis Infection

“…2,4 In extrapulmonary TB, affected areas typically include the bones, pleura, lymph nodes, genitourinary system, peritoneal joints, and meninges. 5,6 Genital TB in men is part of UGTB, contributing to almost 8-15% of all types of TB outside the lungs. 6,7 From various literature sources, it has been found that the average age of patients with UGTB is around 20-40 years old, rarely occurring in children due to a long latent period.…”

“…5,6 Genital TB in men is part of UGTB, contributing to almost 8-15% of all types of TB outside the lungs. 6,7 From various literature sources, it has been found that the average age of patients with UGTB is around 20-40 years old, rarely occurring in children due to a long latent period. [8][9][10] The demographic characteristics of the patients in this case report resemble existing literature or studies, being male and aged 31 years old.…”

“…4 Typically, testicular TB is caused by TB epididymitis. 6 Many doctors experience delays in diagnosis due to the absence of typical clinical features. Furthermore, manifestations have varied presentations, with most cases presenting with pelvic pain, dysuria, and subsequent fever.…”

“…In extrapulmonary TB, the affected areas typically include bones, pleura, lymph nodes, genitourinary system, peritoneal joints, and meninges. 5,6 Genital TB in men is a part of urogenital TB (UGTB). UGTB accounts for nearly 8-15% of all types of TB outside the lungs.…”

“…UGTB accounts for nearly 8-15% of all types of TB outside the lungs. 6,7 UGTB usually involves the prostate up to the penis. Involvement of the epididymis is less common, accounting for approximately 28% of UGTB.…”