Warora diagnostic Centre, Warora, Maharashtra, India.
J Radiol Case Rep. 2023 Jul 31;17(7):1-7. doi: 10.3941/jrcr.v17i7.4675. eCollection 2023 Jul.
Parasitic infestations of the ovary are quite rare with ovary being the least common site of infection in the female genital tract. Filariasis is a parasitic disease caused by filarial nematodes (Wuchereria bancrofti, Brugia malayai, Brugia timori). It causes lymphatic obstruction with resultant edema and increase in the size of the affected organ. We report a case of 24-year-old married female who presented to our radiology department for ultrasound evaluation with the main aim being to look for retained products of conception after the termination of early pregnancy. However on ultrasound examination ovarian filariasis was an incidental diagnosis with the classical twirling movement (filarial dance sign) seen in one of the follicles of the ovary. Ultrasound is the imaging modality of choice for detecting the adult filarial worm/microfilaria in the lymphatic system. Ovarian filariasis is a very rare diagnosis with only a handful of cases being reported in literature with most cases being diagnosed incidentally on histopathological examination of the post operative specimen.
卵巢寄生虫感染非常罕见,卵巢是女性生殖道中感染最不常见的部位。丝虫病是由丝虫(班氏吴策线虫、马来布鲁线虫、帝汶布鲁线虫)引起的寄生虫病。它会导致淋巴阻塞,从而导致受影响器官的水肿和增大。我们报告了一例 24 岁已婚女性,因早期妊娠终止后寻找残留的妊娠产物而到我们放射科进行超声检查。然而,在超声检查中,卵巢丝虫病是一个偶然的诊断,在卵巢的一个卵泡中可以看到典型的旋转运动(丝虫舞征)。超声是检测淋巴系统中成虫/微丝蚴的首选影像学方法。卵巢丝虫病是一种非常罕见的诊断,文献中仅报道了少数几例,大多数病例是在术后标本的组织病理学检查中偶然诊断出来的。