Gomes Elainne Christine de Souza, Domingues Ana Lúcia Coutinho, Aguiar Júnior Francisco Carlos Amanajás de, Barbosa Constança Simões
Department of Parasitology, Laboratório e Serviço de Referência em Esquistossomose, Centro de Pesquisas Aggeu Magalhães, Fiocruz - Ministério da Saúde, Recife, Pernambuco, Brazil.
Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Rev Bras Ginecol Obstet. 2017 May;39(5):249-254. doi: 10.1055/s-0037-1601452. Epub 2017 Mar 31.
The occurrence of Manson's schistosomiasis in organs of the female reproductive tract is an uncommon event, given that the etiological agent for this disease is a blood parasite that inhabits the mesenteric veins. In this case report, a 45-year-old female patient reported that her first symptoms had been strong pain in the left iliac region around two years earlier. An endovaginal pelvic ultrasonography showed that the left ovary was enlarged, and the report suggested that this finding might be correlated with clinical data and tumor markers. After being examined at several healthcare services, the patient was referred to an oncology service due to suspected neoplasia, where she underwent a left ovariectomy. The result from the histopathological examination showed the presence of granulomatous inflammatory processes surrounding both viable and calcified eggs of . There was no evidence of any neoplastic tissue. The patient was medicated and followed-up as an outpatient.
鉴于曼氏血吸虫病的病原体是一种寄生于肠系膜静脉的血液寄生虫，其在女性生殖道器官中的发生是一种罕见事件。在本病例报告中，一名45岁女性患者报告称，大约两年前她最初的症状是左髂区剧烈疼痛。经阴道盆腔超声检查显示左卵巢肿大，报告表明这一发现可能与临床数据和肿瘤标志物相关。在多家医疗服务机构接受检查后，该患者因疑似肿瘤被转诊至肿瘤科室，在那里她接受了左侧卵巢切除术。组织病理学检查结果显示，在活卵和钙化卵周围均存在肉芽肿性炎症过程。没有任何肿瘤组织的证据。该患者作为门诊病人接受药物治疗和随访。
