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疑似卵巢恶性肿瘤转移引起的腹膜病变。

Peritoneal lesions caused by suspected to be metastases of ovarian malignancy.

机构信息

Gynecology and obstetrics, Bernhoven Hospital, Uden, The Netherlands

Gynecology and obstetrics, Bernhoven Hospital, Uden, The Netherlands.

出版信息

BMJ Case Rep. 2021 Jul 8;14(7):e238618. doi: 10.1136/bcr-2020-238618.

Abstract

, also known as pinworm, is a helminth that commonly causes intestinal parasitic infestation. can also cause extraintestinal infestations. We report a case of lower abdominal pain and intermittent vaginal bleeding in a 45-year-old woman who was referred to our gynaecology department. On investigation, a transvaginal ultrasound showed a multilocular cyst in the left ovary, along with elevated levels of cancer antigen 125. Consequently, a laparoscopic salpingo-oophorectomy was performed. A biopsy of atypical peritoneal lesions revealed remains of Peritoneal lesions are a rare complication of enterobiasis, and the diagnosis of this complication is usually delayed by limitations in diagnostic options. Although extraintestinal enterobiasis does not require treatment because it is the last stage of the parasitic cycle, primary intestinal infestation requires treatment with mebendazole.

摘要

蛲虫,又称线头虫,是一种常见的引起肠道寄生虫感染的寄生虫。它也可以引起肠道外感染。我们报告了一例 45 岁女性因下腹痛和间歇性阴道出血而转至妇科的病例。经调查,经阴道超声显示左侧卵巢有多房性囊肿,同时癌抗原 125 水平升高。因此,行腹腔镜下输卵管卵巢切除术。对非典型腹膜病变的活检显示蛲虫残余。腹膜病变是蛲虫病的罕见并发症,由于诊断方法的局限性,这种并发症的诊断通常会被延误。虽然肠道外蛲虫病不需要治疗,因为它是寄生虫周期的最后阶段,但原发性肠道感染需要用甲苯咪唑治疗。

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