Reipen J, Becker C, William M, Hemmerlein B, Friedrich M, Salehin D
Department of Gynecology and Obstetrics, lnstitute for Hygiene and Laboratory Medicine,Helios Hospital Krefeld, Krefeld, Germany.
Clin Exp Obstet Gynecol. 2012;39(3):379-81.
Enterobiasis is the most common parasitic disease of the temperate zones and infects the human intestinal tract. In rare cases extraintestinal infections with Enterobius vermicularis may occur and can affect the female genital tract and peritoneal cavity. In most cases the infection is asymptomatic, but there are also cases described in which peritoneal enterobiasis can cause abdominal pain.
A case report and review of the pertinent literature.
A 32-year-old patient was admitted with cyclical lower abdominal pain. With suspected endometriosis a diagnostic autofluorescence laparoscopy (DAFE) was performed. At surgery extensive peritoneal deposits were seen. Macroscopically these deposits were not typical for endometriosis. The histological examination showed granuloma caused by E. vermicularis eggs. The patient was treated with mebendazole. After completion of treatment the patient was asymptomatic. At the second-look laparoscopy no more peritoneal changes were detected.
Enterobius vermicularis may cause symptoms similar to endometriosis. In cases with reasonable suspicion it should therefore be considered in the differential diagnosis.
蛲虫病是温带地区最常见的寄生虫病，感染人体肠道。在罕见情况下，蠕形住肠线虫可发生肠外感染，累及女性生殖道和腹腔。大多数情况下感染无症状，但也有报道称腹腔蛲虫病可引起腹痛。
病例报告及相关文献复习。
一名32岁患者因周期性下腹痛入院。怀疑为子宫内膜异位症，遂行诊断性自体荧光腹腔镜检查（DAFE）。手术中可见广泛的腹膜沉积物。肉眼观察这些沉积物并非典型的子宫内膜异位症表现。组织学检查显示由蛲虫卵引起的肉芽肿。患者接受甲苯达唑治疗。治疗结束后患者无症状。二次腹腔镜检查未发现腹膜有变化。
蠕形住肠线虫可引起类似子宫内膜异位症的症状。因此，在有合理怀疑的病例中，鉴别诊断时应考虑该病。
Zotero 插件