European Journal of Inflammation (May 2019)

Ovarian teratoma with recurrent urinary retention is misdiagnosed as bladder disease: A rare case report and review of the literature

  • Ning Wang,
  • Kai Wang,
  • Xi Xie,
  • Lin Cao,
  • Huadong He,
  • Ning Li

DOI
https://doi.org/10.1177/2058739219847008
Journal volume & issue
Vol. 17

Abstract

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We present a 22-year-old ovarian teratoma female patient with recurrent urinary retention. It was first misdiagnosed as bladder disease and the treatment is catheterization. During the follow-up, urinary abdominopelvic examination showed a heterogeneous hypoechoic zone of 66 mm × 25 mm on the upper wall of the bladder with 1125 mL residual urine, so the patient was reevaluated. Vaginal ultrasound showed no obvious abnormalities in the uterus and accessories. In the further evaluation, urinary computed tomography (CT) revealed a visible huge space-occupying lesions in the pelvis and lower abdomen, was considered a benign lesion, and it might be the accessories teratoma. Abdominal magnetic resonance imaging (MRI) revealed a visible huge cystic shadow in the pelvis and lower abdomen. Post-operative pathology confirmed the presence of pelvic mature cystic teratoma and mature neural tissue. Post-operative follow-up for 1 year, the patient had no symptoms such as abdominal pain, dysuria, or urinary retention. The clinical manifestations of ovarian teratoma are complex, but imaging examinations (e.g. CT, MRI, and ultrasound) are characteristic and valuable for clinical diagnosis.