血吸虫病所致的Asherman综合征。
Asherman syndrome caused by schistosomiasis.
作者信息
Krolikowski A, Janowski K, Larsen J V
机构信息
Eshowe Hospital, Eshowe, South Africa.
出版信息
Obstet Gynecol. 1995 May;85(5 Pt 2):898-9. doi: 10.1016/0029-7844(94)00371-j.
BACKGROUND
Rare causes of Asherman syndrome include infections of the endometrium, such as tuberculosis and schistosomiasis.
CASE
A 27-year-old Zulu woman, para 1, presented with secondary amenorrhea after an uncomplicated cesarean delivery. Hormone levels were in the normal ranges. Laparoscopy revealed some pelvic adhesions with patent fallopian tubes, and biopsy of the ovary showed schistosomiasis. Diagnostic D&C revealed a uterine cavity partially obliterated by adhesions. The patient was treated with praziquantel.
CONCLUSION
Schistosomiasis should be considered as a possible cause of infertility and Asherman syndrome in those parts of the world where it is endemic.
背景
阿谢曼综合征的罕见病因包括子宫内膜感染，如结核病和血吸虫病。
病例
一名27岁的祖鲁族女性，孕1产1，在一次无并发症的剖宫产术后出现继发性闭经。激素水平在正常范围内。腹腔镜检查发现一些盆腔粘连，输卵管通畅，卵巢活检显示血吸虫病。诊断性刮宫显示宫腔部分被粘连闭塞。该患者接受了吡喹酮治疗。
结论
在血吸虫病流行地区，应将其视为不孕和阿谢曼综合征的可能病因。
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