Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Chronic constipation due to presacral teratoma in a 36-year-old woman: a case report | Paramythiotis et al. Journal of Medical Case Reports 2010 4 23 http content 4 1 23 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Chronic constipation due to presacral teratoma in a 36-year-old woman a case report Daniel Paramythiotis 1 Theodossis S Papavramidis1 Antonios Michalopoulos1 Vassilios N Papadopoulos1 Stylianos Apostolidis2 Despoina Televantou3 Prodromos Hytiroglou3 Abstract Introduction Teratomas of the sacrococcygeal area are usually diagnosed in infancy and are rarely seen in adults. Case presentation We 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. Conclusion Sacrococcygeal 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. Introduction Teratomas are tumours composed of various cell types representing more than one germ layer. Teratomas derived from germ cells occur in the gonads whereas teratomas derived from embryonal cells are found in other locations. The sacrococcygeal area is the most frequent site of teratomas sacrococcygeal teratomas SCTs in neonates infants and children younger than four years. In adults tumours at this site are very rare occurring at a rate of between 1 in 40 000 and 63 000 1 . SCTs have a female preponderance 3 1 2 3 . We report the case of a 36-year-old woman who had experienced constipation for two years due to a mature presa-cral 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 .
