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蚊虫叮咬与附件肿物:卵巢丝虫病的罕见诊断

Mosquito Bite and Adnexal Mass: The Unusual Diagnosis of Ovarian Filariasis.

作者信息

Datta Mamta R, Ghosh Mousumi D, Kumari Vina, Narayan Radhika

机构信息

Obstetrics and Gynaecology, Tata Main Hospital, Jamshedpur, IND.

Pathology, Tata Main Hospital, Jamshedpur, IND.

出版信息

Cureus. 2021 Jul 31;13(7):e16772. doi: 10.7759/cureus.16772. eCollection 2021 Jul.

Abstract

Lymphatic filariasis is a major health problem in tropical regions especially in India. A large number of patients tend to be asymptomatic. Ovarian filariasis is an extremely rare manifestation of lymphatic filariasis. This is a case report of bilateral ovarian filariasis presenting as ovarian mass with associated lower abdominal pain, weight loss and chyluria. This is a very rare diagnosis, more so as it was diagnosed preoperatively by ultrasound and managed with anti-filarial drugs and confirmed by biopsy. Most cases of ovarian filariasis reported in literature are incidental diagnosis on histopathological examination of postoperative specimen.

摘要

淋巴丝虫病是热带地区尤其是印度的一个主要健康问题。大量患者往往无症状。卵巢丝虫病是淋巴丝虫病极为罕见的一种表现形式。本文报告一例双侧卵巢丝虫病,表现为卵巢肿物,并伴有下腹部疼痛、体重减轻和乳糜尿。这是一种非常罕见的诊断,更特别的是它在术前通过超声得以诊断,采用抗丝虫药物治疗,并经活检得以证实。文献中报道的大多数卵巢丝虫病病例是在术后标本的组织病理学检查中偶然诊断出来的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3f/8328841/62f9bfea0fdf/cureus-0013-00000016772-i01.jpg

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