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子宫子宫内膜:一例病例报告。

in the Endometrium of the Uterus: A Case Report.

作者信息

Pigac Biserka, Mašić Silvija, Mašić Valentina

机构信息

Pathology, Cytology and Forensic Medicine Unit, Varaždin General Hospital, Varaždin, Croatia.

Clinic for Oncology and Nuclear Medicine, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.

出版信息

Iran J Parasitol. 2017 Oct-Dec;12(4):638-641.

Abstract

is an intestinal nematode of humans and the most common helminth infection. Main transmission path is direct contact between infected and uninfected person meaning ingestion of the eggs. Human infections are usually asymptomatic or manifest as perianal itching. Although ectopic locations are uncommon, can occasionally be detected in appendix, kidney, male urinary tract and female genital tract. We present a case from Varaždin General Hospital, Varaždin, Croatia in 2012, involving a 90-yr-old female patient who underwent hysterectomy leading to accidental finding of in the uterus despite being asymptomatic for enterobiasis. Since there were no signs and symptoms of parasitic infection, no antiparasitic drugs were administered. Parasite was not observed during macroscopic examination, yet microscopic examination of the material demonstrated helminth within endometrium surrounded by dense inflammatory infiltrate, predominantly lymphocytes and some eosinophils. Internal structures of the parasite were collapsed, while well-developed musculature and cuticle were preserved. We present this case to educate and remind physicians on this parasitosis as possible diagnosis. Although non-gastrointestinal locations of infestation are rare, this infection should be considered in patients with abdominal pain, genitourinary symptoms, and pelvic pain in order to apply appropriate treatment and prevent further complications.

摘要

是一种人体肠道线虫,也是最常见的蠕虫感染。主要传播途径是感染者与未感染者之间的直接接触,即摄入虫卵。人体感染通常无症状,或表现为肛周瘙痒。虽然异位寄生情况不常见,但偶尔可在阑尾、肾脏、男性泌尿道和女性生殖道中检测到。我们报告一例2012年来自克罗地亚瓦拉日丁市瓦拉日丁综合医院的病例,患者为一名90岁女性,接受子宫切除术时意外在子宫中发现了 ,尽管该患者无蛲虫病症状。由于没有寄生虫感染的体征和症状,未给予抗寄生虫药物治疗。肉眼检查未观察到寄生虫,但对该物质进行显微镜检查发现子宫内膜内有蠕虫,周围有密集的炎症浸润,主要为淋巴细胞和一些嗜酸性粒细胞。寄生虫的内部结构已塌陷,但保存了发育良好的肌肉组织和角质层。我们展示此病例是为了教育和提醒医生将这种寄生虫病作为可能的诊断考虑。虽然蛲虫感染在非胃肠道部位很少见,但对于有腹痛、泌尿生殖系统症状和盆腔疼痛的患者,应考虑这种感染,以便进行适当治疗并预防进一步并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6286/5756315/a21deff87142/IJPA-12-638-g001.jpg

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