Abstract
IntroductionTeratomas of the sacrococcygeal area are usually diagnosed in infancy and are rarely seen in adults.Case presentationWe report the case of a 36-year-old Greek woman experiencing chronic constipation due to a benign presacral teratoma. Imaging examinations showed a pelvic mass without evidence of malignancy. An ovoid tumour with a maximum dimension of 6 cm was surgically removed. A histologic examination revealed a mature cystic teratoma. Two years after surgery, the patient is well, with no evidence of recurrence and no constipation.ConclusionSacrococcygeal teratomas are rare in adults. A high index of suspicion is important in making an early diagnosis. Rectal examination and radiologic evaluation are also valuable.
Highlights
Teratomas of the sacrococcygeal area are usually diagnosed in infancy and are rarely seen in adults
Teratomas are tumours composed of various cell types representing more than one germ layer
We report the case of a 36-year-old woman who had experienced constipation for two years due to a mature presacral teratoma, which was successfully removed
Summary
Teratomas are tumours composed of various cell types representing more than one germ layer. We report the case of a 36-year-old woman who had experienced constipation for two years due to a mature presacral teratoma, which was successfully removed. Case presentation A 36-year-old Greek woman was admitted to our department complaining of left abdominal and pelvic pain that had developed progressively during the previous six months. She had experienced constipation for two years, which was temporarily relieved with regular laxative treatments. Two cystic cavities were found, the larger with a maximum dimension of 5 cm and containing sebum, and the smaller one measuring 1.5 cm and containing mucin.
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