Laroche Justine, Mottet Nicolas, Malincenco Marianna, Gay Catherine, Royer Pierre Yves, Riethmuller Didier
Service de Gynécologie, Hôpital Nord Franche Comté, Belfort, France.
Service de Gynécologie, Hôpital Régional Universitaire de Besançon, France.
Pan Afr Med J. 2016 Jan 26;23:18. doi: 10.11604/pamj.2016.23.18.8845. eCollection 2016.
Schistosomiasis is the second endemic parasitic disease in the world and is a common cause of urogenital infections. Ectopic pregnancies due to tubal obstruction by schistosoma's eggs are usually reported in Africa. Schistosomiasis also affects travelers but infection of the female genital tract is less frequently described. We report an unusual clinical case of two successive ectopic pregnancies with tubal schistosomiasis in a French woman, seven years after a travel to Mali. The first event was discovered after histologic examination of salpingectomy and the second event required a controlateral salpingotomy with an injection of methotrexate, two months later.
血吸虫病是世界上第二大地方性寄生虫病,是泌尿生殖系统感染的常见病因。由血吸虫卵导致输卵管阻塞引起的异位妊娠在非洲较为常见。血吸虫病也会感染旅行者,但女性生殖道感染的报道较少。我们报告了一名法国女性在前往马里旅行七年后,连续两次因输卵管血吸虫病发生异位妊娠的罕见临床病例。第一次是在输卵管切除术后的组织学检查中发现的,第二次则在两个月后需要对侧输卵管切开术并注射甲氨蝶呤。