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Pilimiction.

Z H Bhuiyan1, N Akhter, M F Islam

  • 1Department of Urology, Bangladesh Medical College, House No. 33/35, Road No. 14/A, Dhanmondi Residential Area, Dhaka-1209, Bangladesh. zahidhb_1961@ yahoo.com

Mymensingh Medical Journal : MMJ
|July 22, 2009
PubMed
Summary
This summary is machine-generated.

Passage of hair in urine, known as pilimiction, is a rare sign of a bladder dermoid. Secondary bladder dermoids, often from ovarian teratomas, can invade the bladder and require surgical removal.

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Area of Science:

  • Urology
  • Gynecology
  • Pathology

Background:

  • Pilimiction, or hair passage in urine, is a rare urological condition.
  • It is often a sign of a urinary bladder dermoid, a benign cystic teratoma.
  • Secondary bladder dermoids, typically of ovarian origin, can invade the bladder wall.

Observation:

  • A patient presented with a 9-year history of benign pilimiction.
  • Initial evaluation included ultrasound; MRI and CT scans were deferred due to cost.
  • Endoscopic attempts suggested the dermoid invaded the bladder externally.

Findings:

  • Laparotomy revealed a left ovarian dermoid cyst invading the bladder wall.
  • The diagnosis of secondary bladder dermoid causing pilimiction was confirmed.
  • Surgical excision of the ovarian dermoid and involved bladder tissue was performed with safety margins.

Implications:

  • This case highlights secondary bladder dermoids as a cause of pilimiction.
  • Surgical management, including laparoscopy or laparotomy, is crucial for ovarian teratomas invading the bladder.
  • Early diagnosis and appropriate intervention are key for favorable outcomes in rare urological presentations.