BACKGROUND: Pure chronic renal failure as a presentation of a conus neoplasm is a rare entity. In addition, few case reports exist describing an intramedullary teratoma among adults. CASE DESCRIPTION: We present a unique case of intramedullary mature cystic teratoma, presenting as isolated renal failure. CONCLUSIONS: As distinguished radiological criteria cease to exist regarding intramedullary teratomas, these neoplasms continue to provide pathological surprises. Surgical excision remains the treatment of choice. The literature review indicates good surgical outcome.
BACKGROUND: Pure chronic renal failure as a presentation of a conus neoplasm is a rare entity. In addition, few case reports exist describing an intramedullary teratoma among adults. CASE DESCRIPTION: We present a unique case of intramedullary mature cystic teratoma, presenting as isolated renal failure. CONCLUSIONS: As distinguished radiological criteria cease to exist regarding intramedullary teratomas, these neoplasms continue to provide pathological surprises. Surgical excision remains the treatment of choice. The literature review indicates good surgical outcome.