Podgajski M, Kukura V, Duic Z, Gasparov S, Madzarac M
Department of Obstetrics and Gynecology, Merkur University Hospital, Zagreb, Croatia.
Eur J Gynaecol Oncol. 2007;28(6):513-5.
We present a case of a 36-year-old Caucasian woman with ascites, elevated CA-125, an enlarged left ovary and chronic pelvic pain who underwent an unnecessary surgical intervention because of suspected malignant disease. During the operation ovarian and sigmoid colon granulomatous tumors caused by Enterobius vermicularis infestation were revealed. In this case, the presence of Enterobius vermicularis ova in the abdominal cavity appears to have caused a sufficient reaction to produce symptoms and signs of malignancy leading to surgical intervention. Moreover, awareness that such lesions may occur is important since the lesions and clinical signs may be misinterpreted as being malignant with subsequent unnecessary surgical intervention.
我们报告一例36岁的白种女性病例，该患者有腹水、CA-125升高、左卵巢增大及慢性盆腔疼痛，因怀疑恶性疾病接受了不必要的手术干预。手术中发现由蛲虫感染引起的卵巢和乙状结肠肉芽肿性肿瘤。在该病例中，腹腔内蛲虫卵的存在似乎引起了足以产生恶性肿瘤症状和体征的反应，从而导致了手术干预。此外，认识到可能发生此类病变很重要，因为这些病变和临床体征可能被误诊为恶性，进而导致不必要的手术干预。
