Indian Journal of Urology
CASE REPORT
Year
: 2002  |  Volume : 18  |  Issue : 2  |  Page : 183--184

Ovarian dermoids perforating into the urinary bladder


Padmaraj Hedge, K Natarajan, Joseph Thomas, K Sasidharan 
 Division of Urology, Kasturba Medical College, Manipal, India

Correspondence Address:
Joseph Thomas
Division of Urology, KMC, Manipal, Karnataka - 576119
India




How to cite this article:
Hedge P, Natarajan K, Thomas J, Sasidharan K. Ovarian dermoids perforating into the urinary bladder.Indian J Urol 2002;18:183-184


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 2021 Sep 28 ];18:183-184
Available from: https://www.indianjurol.com/text.asp?2002/18/2/183/37640


Full Text

 Introduction



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



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



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



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

1Lazebnik J, Kamhi D. A case of vesical teratoma associated with vesical stone and diverticulum. J Urol 1961: 85: 796-799.
2Wallace J. Philosphical Trans Roy Soc, London 1700: 22: 668.