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原发性子宫内膜和宫颈腹股沟肉芽肿(杜诺凡病)。病例报告。

Primary endometrial and endocervical granuloma inguinale (donovanosis). Case report.

作者信息

Scrimgeour E M, Sengupta S K, McGoldrick I A

出版信息

Br J Vener Dis. 1983 Jun;59(3):198-201. doi: 10.1136/sti.59.3.198.

DOI:10.1136/sti.59.3.198
PMID:6850268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1046177/
Abstract

Primary endometrial and endocervical granuloma inguinale (donovanosis) was diagnosed in an 18-year-old Melanesian woman in Papua New Guinea. Granulomatous involvement of the parametrium, salpinges, ovaries, and ureters was associated with ureteric obstruction and bilateral hydronephrosis. Granuloma inguinale of the cervix, labia majora, and anus developed after diagnostic endometrial curettage. Treatment with tetracycline and later chloramphenicol had to be stopped because of poor patient compliance. Hysterectomy was performed, after which the patient made a good recovery. This appears to be the first case of primary endometrial and endocervical granuloma inguinale to be reported.

摘要

在巴布亚新几内亚,一名18岁的美拉尼西亚女性被诊断为原发性子宫内膜和宫颈腹股沟肉芽肿(杜诺凡病)。子宫旁组织、输卵管、卵巢和输尿管的肉芽肿累及与输尿管梗阻和双侧肾积水有关。诊断性刮宫术后,宫颈、大阴唇和肛门出现腹股沟肉芽肿。由于患者依从性差,不得不停止使用四环素以及后来的氯霉素治疗。患者接受了子宫切除术,术后恢复良好。这似乎是首例原发性子宫内膜和宫颈腹股沟肉芽肿的报道病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d13/1046177/7a1fb10b7019/brjvendis00009-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d13/1046177/7a1fb10b7019/brjvendis00009-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d13/1046177/7a1fb10b7019/brjvendis00009-0056-a.jpg

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引用本文的文献

1
Extragenital donovanosis: three cases from Western Australia.生殖器外皮肤利什曼病:来自西澳大利亚的三例病例
Genitourin Med. 1986 Jun;62(3):196-201. doi: 10.1136/sti.62.3.196.
2
The diagnosis and treatment of donovanosis (granuloma inguinale).杜诺凡病(腹股沟肉芽肿)的诊断与治疗
Genitourin Med. 1991 Dec;67(6):441-52. doi: 10.1136/sti.67.6.441.

本文引用的文献

1
Granuloma inguinale with hematogenous dissemination to the spine.腹股沟肉芽肿血行播散至脊柱。
JAMA. 1961 May 13;176:530-2. doi: 10.1001/jama.1961.63040190012016c.
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Squamous cell carcinoma of the vulva secondary to granuloma inguinale.腹股沟肉芽肿继发的外阴鳞状细胞癌
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Studies on granuloma inguinale. II. The complement fixation test in the diagnosis of granuloma inguinale.
Am J Syph Gonorrhea Vener Dis. 1953 Jan;37(1):71-6.
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Granuloma inguinale (donovanosis).
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Granuloma inguinale simulating advanced pelvic cancer.
Med J Aust. 1976 Dec 4;2(23):869, 872-3. doi: 10.5694/j.1326-5377.1976.tb115449.x.