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Case Reports in Urology
Volume 2016 (2016), Article ID 1423157, 3 pages
http://dx.doi.org/10.1155/2016/1423157
Case Report

Type IV Sacrococcygeal Teratoma Displacing the Urinary Bladder: Unique Magnetic Resonance Imaging

Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran 1419433151, Iran

Received 23 February 2016; Accepted 10 May 2016

Academic Editor: David Duchene

Copyright © 2016 Sahar Eftekharzadeh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Type IV sacrococcygeal teratoma is a rare pediatric tumor that is confined to the presacral area with no external component. The signs and symptoms often arise due to mass effect and compression of adjacent organs. Urinary retention is an uncommon presenting symptom in these patients. A wide spectrum of imaging findings may be encountered in cases with sacrococcygeal teratoma because of variability of tumor size and components. We hereby present a unique magnetic resonance urography finding in a type IV sacrococcygeal teratoma which caused bladder displacement. A meticulous and complete resection of tumor with special attention to the pelvic plexus led to preservation of normal voiding function and normal bowel function in this patient.