Ovarian Cystovesical Fistula causing Pilimiction: A Unusual Complication of Ovarian Cyst

  • T Nagamani
  • Vani Isukapalli
  • Nimmana Swathi Priya King George Hospital
  • Manoj Kumar
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.

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Published
2015-12-18
Section
Case Reports

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