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曼氏血吸虫病所致生殖器血吸虫病:腹腔镜检查诊断的输卵管肿瘤和壁层腹膜受累。

Genital schistosomiasis mansoni: tubal tumor and parietal peritoneum involvement diagnosed during laparoscopy.

机构信息

Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Rev Soc Bras Med Trop. 2009 Sep-Oct;42(5):583-6. doi: 10.1590/s0037-86822009000500019.

DOI:10.1590/s0037-86822009000500019
PMID:19967244
Abstract

Female genital schistosomiasis is not uncommon in endemic areas for schistosomiasis, but there are few reports in the Brazilian medical literature. Here, we describe the case of a 31-year-old woman with lower abdominal pain who was diagnosed as presenting a fallopian tube tumor caused by Manson's schistosomiasis. The diagnosis was delayed because her symptoms were considered nonspecific. Involvement of the parietal peritoneum of the ovarian fossa was observed during laparoscopy and confirmed by histological analysis. The left tube and the tumor were excised and schistosomiasis was treated with praziquantel. She presented a full recovery and options for future reproduction are under evaluation.

摘要

女性生殖器血吸虫病在血吸虫病流行地区并不罕见,但在巴西医学文献中报道较少。在这里,我们描述了一例 31 岁女性,因曼森血吸虫病导致下腹痛,被诊断为输卵管肿瘤。由于其症状不具有特异性,导致诊断延误。腹腔镜检查观察到卵巢窝壁层腹膜受累,并通过组织学分析得到证实。切除了左侧输卵管和肿瘤,并使用吡喹酮治疗了血吸虫病。患者完全康复,正在评估未来的生育选择。

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