Ovarian Cystovesical Fistula causing Pilimiction: A Unusual Complication of Ovarian Cyst
Keywords:
Teratoma, Pilimiction, Bladder Fistula, Hair Ball
Abstract
Ovarian teratomas are one of the most common tumours accounting about 20% of adult ovarian tumours. They consist of either mature or immature tissue of all the three germ cell layers. Complications include – torsion (16%), rupture (1-4%), malignant transformation (1-2%), infection (1%), autoimmune hemolytic anaemia (<1%).Adhesion and perforation into bladder is one of the rare complications. We reported a case of 32year old parous lady with straining at micturition, narrow stream, passing hair i.e. pilimiction and turbid urine occasionally. On cystoscopy, hair ball visualized. CECT demonstrated an ovarian dermoid cyst invading the urinary bladder. Procedure--TAH with BSO and partial cystectomy done. The diagnosis of fistulous tract between ovarian dermoid with bladder was confirmed.References
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2. Kumar A, Goyal P, Sehgal S, Ghosh S, Kumar V, Agrawal D, Singh S. Giant Immature Teratoma of the Ovary with Gliomatosis Peritonei in a 15-Year Old Girl: A Case Report and Literature Review. Journal of Gynecologic Surgery. August 2014, 30(4): 222-226. doi:10.1089/gyn.2013.0096.
3. Stany MP, Hamilton CA. Benign disorders of the ovary. Obstet Gynecol Clin North Am. 2008 Jun. 35(2):271-84, ix.
4. Wu RT, Torng PL, Chang DY, et al. Mature cystic teratoma of the ovary: a clinicopathologic study of 283 cases. Zhonghua Yi Xue Za Zhi (Taipei). 1996 Oct. 58(4):269-74.
5. Godara R, Karwasra RK, Garg P, Sharma N. Pili-miction: A Diagnostic symptom of ovarian dermoid cyst. Internet J GynecolObstet 2006; 6 (1).
6. Okada S, Ohaki Y, Inoue K, Nakajo H, Kawamata H, Kumazaki T. A case of dermoid cyst of the ovary with malignant transformation complicated with small intestinal fistula formation. Radiat Med 2005; 23: 443–446.
7. Shiels WE, Dueno F, Hernandez E. Ovarian dermoid cyst complicated by an entero-ovarian fistula. Radiology 1986; 160:443–444.
8. Peterson WF, Prevost EC, Edmunds FT, Hundley JM Jr, Morris FK. Benign cystic teratomas of the ovary: a clinico-statisticalstudy of 1007 cases with a review of the literature. Am J Obstet Gynecol 1955; 70: 368–382.
9. Park SB, Kim JK, Kim KR, Cho KS. Imaging findings of complications and unusual manifestations of ovarian teratomas. Radiographics 2008; 28: 969-83.
10. Hedge P, Natarajan K, Thomas J, Sasidharan K. Ovarian dermoids perforating into the urinary blad-der. Indian J Urol 2002;18: 183–184.
11. Schultheis J, K¨ ohler F. [Benign cystic teratoma (dermoid cyst) of the ovary perforated into the uri-nary bladder.] Z Urol Nephrol1977; 70: 733–737.
12. Tabata K, Nagakura K, Hirano I, Baba S. [A case of fistula between the urinary bladder and an ovarian dermoid cyst.] Hinyokika Kiyo 2004; 50: 219–221
Published
2015-12-18
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Section
Case Reports
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