American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2016, 4(5), 153-157
DOI: 10.12691/ajmcr-4-5-2
Open AccessCase Report

Mature (Benign) Cystic Retrovesical Teratoma in a 49-Year-Old Male: a Case Report and Literature Review

V Vera1, and Ferry Safriadi2,

1Faculty of Medicine, University of Padjadjaran, Hasan Sadikin Hospital, Bandung, Indonesia

2Urology Department, Hasan Sadikin Hospital, Bandung, Indonesia

Pub. Date: May 06, 2016

Cite this paper:
V Vera and Ferry Safriadi. Mature (Benign) Cystic Retrovesical Teratoma in a 49-Year-Old Male: a Case Report and Literature Review. American Journal of Medical Case Reports. 2016; 4(5):153-157. doi: 10.12691/ajmcr-4-5-2


Teratomas are congenital tumours that contain derivatives of all three germ layers. Teratomas have been reported to occur in various sites and organs. Retrovesical teratoma is a very rare extragonadal tumour, especially in adults, moreover in male patients. Grading and classification of teratoma is important for management and prognosis. We report a case of mature (benign) cystic retrovesical teratoma. The patient was a 49-year-old male who had chief complaints of abdominal mass and difficulty in urination. Ultrasonography (USG) showed a large mass in the pelvic region demonstrating a well-defined hypoechoic mass with septations at posterior of vesica urinaria. Abdominal Multislice Computed Tomography (MSCT) scan showed a large inhomogeneous hypodense mass with thin septations as well as multiple areas of fatty collections and coarse calcifications in pelvic region. We performed complete surgical resection per laparotomy. Grossly, the mass measured 12 x 10 x 5 cm and had rubbery consistency. Cut section of the mass revealed multilocular cystic spaces, whitish-gray walls, scattered yellowish adipose tissue collections, mucus secretions, and areas of calcifications. Pathological diagnosis of the resected tumour was a matured teratoma. The diagnosis was made because the tumour showed signs of a mature teratoma such as lined by stratified squamous and respiratory columnar eptithelium, fat and muscle tissue, nerve tissue, and calcifications. There were no neuroepithelium appearance. To our knowledge, this is the first retrovesical teratoma case being reported in Indonesia.

teratoma retrovesical benign cystic adult

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[1]  Penny SM. Sacrococcygeal Teratoma: A Literature Review. Radiologic Technology. September/ October 2012; 84(1).
[2]  Alimehmeti M, Alimehmeti R, Ikonomi M, Saraci M, Petrela M. Cystic Benign Teratoma of the Neck in Adult. World J Clin Cases. 2013 September 16; 1(6): 202-204.
[3]  Bhatti A, Al-Hindi H, Azzam A, Amin T, and Abu-Zaid A. Mature (Benign) Cystic Retroperitoneal Teratoma Involving the Left Adrenal Gland in a 22-Year-Old Male: A Case Report and Literature Review. Hindawi Publishing Corporation. 2013.
[4]  Win TT, Razy NHMF, Hamid SSA, Balasubramanian A, Ramalinggam G. Congenital Mature Cystic Teratoma of the Lateral Neck Presenting as Cystic Hygroma: A Rare Case Report with Literature Review. Turkish Journal of Pathology. 2014; 30(3): 220-224.
[5]  Bristow MS, Poplawski S, Lautner D, Brunet G. Answer to Case of the Month #152 Retroperitoneal Teratoma. Canadian Association of Radiologists Journal. 2009; 60(t53-155).
[6]  Wetherell D, Weerakoon M, Williams D, Beharry BK, Sliwinski A, et al. Mature and Immature Teratoma: A Review of Pathological Characteristics and Treatment Options. Med Surg Urol. 2014; 3(124).
[7]  Sable MN, Nath D, Chumbar S, Das CJ, Priyadarshini P, Kaur K, et al. Pelvic Mature Cystic Teratoma with Neuroendocrine Carcinoma: Report of a Rare Association and Review of Literature. Indian Journal of Pathology and Microbiology. January-March 2014; 57(1).
[8]  Bull J, Yeh KA, McDonnell D, Caudell P, Davis J. Mature Presacral Teratoma in an Adult Male: a Case Report. The American Surgeon. Jun 1999; 65(6).
[9]  Fredj N, Mbarek IH, Saidi R, Njim L, Zakhama A, Saad H. Teratome Kystique Mature Retro-vesical de L’adulter: a Propos d’un Cas. African Journal of Urology. 2007; 13(2): 169-173.
[10]  Miles RM, Stewart GS. Sacrococcygeal Teratomas in Adults. Ann. Surg. May 1974.
[11]  Arai Y, Takahashi M, Takeda, Shitoto K. Adult-onset Intradural Spinal Teratoma in the Lumbar Spine: A Case Report. Journal of Orthopaedic Surgery. 2000; 8(2): 69-74.
[12]  Herman TE, Siegel MJ. Cystic Type IV Sacrococcygeal Teratoma. Journal of Perinatology. 2002; 22: 331-332.
[13]  Lewis WT, Nyguen D. Radiological Case Submission: Mature Presacral Teratoma. Military Medicine. Ferbruary 2009; 174(2): 214.