Indian Journal of Urology Users online:180  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
CASE REPORT
Year : 2002  |  Volume : 18  |  Issue : 2  |  Page : 183-184
 

Ovarian dermoids perforating into the urinary bladder


Division of Urology, Kasturba Medical College, Manipal, India

Correspondence Address:
Joseph Thomas
Division of Urology, KMC, Manipal, Karnataka - 576119
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

 

Keywords: Ovarian Dermoid, Bladder.


How to cite this article:
Hedge P, Natarajan K, Thomas J, Sasidharan K. Ovarian dermoids perforating into the urinary bladder. Indian J Urol 2002;18:183-4

How to cite this URL:
Hedge P, Natarajan K, Thomas J, Sasidharan K. Ovarian dermoids perforating into the urinary bladder. Indian J Urol [serial online] 2002 [cited 2019 Aug 19];18:183-4. Available from: http://www.indianjurol.com/text.asp?2002/18/2/183/37640



   Introduction Top


Dermoid originates commonly in the testis, ovary, retro­peritoneal and sacrococcygeal areas. [1] A defect in differ­entiation of embryonic cells or blastogenic theory explains the formation of dermoids in the above areas. This report presents two cases of ovarian dermoids perforating silently into the urinary bladder and presenting with urinary com­plaints.


   Case Report 1 Top


A 31-year-old female presented with history of recur­rent episodes of dysuria and pyuria of six-months' dura­tion. She underwent ultrasound and intravenous urogram, which was suggestive of bladder calculus. Cystoscopy showed a calcified mass with hair in the posterior wall. Transurethral resection was done and biopsy proved to be dermoid of the ovary. Patient was advised exploration, which she refused.


   Case Report 2 Top


A 50-year-old female presented with history of recur­rent episodes of dysuria and pyuria of one-year's dura­tion. She underwent ultrasound and intravenous urogram, which was suggestive of calcification in the bladder [Figure - 1]. Cystoscopy showed a mass lesion in the dome of the blad­der with teeth and tufts of hair. Partial cystectomy and left oophrectomy was done [Figure - 2]. Biopsy showed it to be dermoid from the ovary infiltrating bladder. There were no malignant elements.


   Discussion Top


Though primary bladder dermoids are extremely rare it has been reported as early as 1700 by Wallace. [2] The common presentation is an ovarian dermoid eroding into the urinary bladder. This erosion being a slow process the patient will not have acute presenting complaints. Irrita­tive voiding symptoms of a long duration is commonly present. Though symptoms like passage of hair is a de­finitive pointer to the diagnosis, in both of our cases it was absent. The final diagnosis was revealed only during cystoscopic evaluation when hair and teeth were noted. Partial cystectomy with removal of the affected ovary is the curative treatment.

 
   References Top

1.Lazebnik J, Kamhi D. A case of vesical teratoma associated with vesical stone and diverticulum. J Urol 1961: 85: 796-799.   Back to cited text no. 1    
2.Wallace J. Philosphical Trans Roy Soc, London 1700: 22: 668.  Back to cited text no. 2    


    Figures

  [Figure - 1], [Figure - 2]

This article has been cited by
1 Ovarian dermoid cyst perforating into the urinary bladder
Gupta, S.K. and Kumar, M. and Singh, M. and Kumar, V. and Tiwari, R.K. and Suman, S.K. and Choudhary, V.
UroToday International Journal. 2012; 5(4)
[Pubmed]
2 Mature ovarian dermoid cyst invading the urinary bladder
Tandon, A., Gulleria, K., Gupta, S., Goel, S., Bhargava, S.K., Vaid, N.B.
Ultrasound in Obstetrics and Gynecology. 2010; 35(6): 751-753
[Pubmed]



 

Top
Print this article  Email this article
Previous article Next article

    

 
   Search
 
   Next article
   Previous article 
   Table of Contents
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    [PDF Not available] *
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Introduction
    Case Report 1
    Case Report 2
    Discussion
    References
    Article Figures

 Article Access Statistics
    Viewed1506    
    Printed52    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 2    

Recommend this journal

HEALTHWARE INDIA