• J Med Case Rep · Jan 2010

    Chronic constipation due to presacral teratoma in a 36-year-old woman: a case report.

    • Daniel Paramythiotis, Theodossis S Papavramidis, Antonios Michalopoulos, Vassilios N Papadopoulos, Stylianos Apostolidis, Despoina Televantou, and Prodromos Hytiroglou.
    • 1st Propedeutic Surgical Clinic, AHEPA University Hospital, St Kyriakidi 1, Thessaloniki, 54636, Greece. papavramidis@hotmail.com.
    • J Med Case Rep. 2010 Jan 25; 4: 23.

    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.

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