title: Chronic constipation due to presacral teratoma in a 36-year-old woman: a case report.
abstract: BACKGROUND
  Teratomas of the sacrococcygeal area are usually diagnosed in infancy and are rarely seen in adults.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: 1st Propedeutic Surgical Clinic, AHEPA University Hospital, St Kyriakidi 1, Thessaloniki, 54636, Greece. papavramidis@hotmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Paramythiotis
authors.forename: Theodossis S
authors.initials: TS
authors.lastname: Papavramidis
authors.forename: Antonios
authors.initials: A
authors.lastname: Michalopoulos
authors.forename: Vassilios N
authors.initials: VN
authors.lastname: Papadopoulos
authors.forename: Stylianos
authors.initials: S
authors.lastname: Apostolidis
authors.forename: Despoina
authors.initials: D
authors.lastname: Televantou
authors.forename: Prodromos
authors.initials: P
authors.lastname: Hytiroglou