Ondič Ondrej, Neubauer Ludvík, Sosna Bohuslav
Cesk Patol. 2014 Jul;50(3):152-4.
Extraintestinal oxyuriasis, in our experience with three affected women of fertile age, presented itself as a solitary fibrotic nodular lesion, with a varying location. The sites of location were: parietal peritoneum, serous surface of the uterus and wall of the uterine tube. The size of the nodules was 5 to 10 mm. Histologically, the lesions were hypocellular fibrotic nodules with a variable amount of neutrophils and amorphous eosinophilic material in the center, harbouring eggs of the parasite and remnants of pinworm cuticle. All three lesions were asymptomatic, only being discovered incidentally during the operations for unrelated conditions. Their peroperative recovery by a surgeon did not alter the course of surgery. These findings document the ability of pinworms to migrate into the abdominal cavity via the female genital tract.
在我们对三名育龄期患病女性的诊治经验中，肠外蛲虫病表现为单个纤维化结节性病变，位置各异。病变部位包括：壁腹膜、子宫浆膜面和输卵管壁。结节大小为5至10毫米。组织学上，病变为细胞减少的纤维化结节，中央有数量不等的中性粒细胞和无定形嗜酸性物质，内含寄生虫卵和蛲虫角质层残余物。所有三个病变均无症状，仅在因无关病症进行手术时偶然发现。外科医生在手术中对其进行切除并未改变手术进程。这些发现证明了蛲虫可经女性生殖道迁移至腹腔。
