Gamoudi A, Ben Romdhane K, Farhat K, Khattech R, Hechiche M, Rahal K
Service d'Anatomie et de Cytologie Pathologiques, Institut Salah Azaïz, Tunis, Tunisie.
J Gynecol Obstet Biol Reprod (Paris). 1995;24(2):144-8.
Seven cases with echinococcal infection of the ovary, including 3 on both sides, were collected at the Salah Azaiz Institute of Tunis during a period of 23 years. This localisation is rare, even in an endemic country. The aetiology and pathogenesis of this affection may give rise to many different clinical signs, problems with pre-operative diagnosis. It is important to follow up these cases after operation in order to sport recurrences. The objective of surgical treatment is to achieve cure of both the hydatic cyst of the ovary and the primitive cyst simultaneously. Following this treatment, two difficulties may arise: the first one is preoperative rupture of the cyst; the second concerns fertility in these young women after two-sided salpingo-oophorectomy. Finally, when a pelvic cyst is observed systematic hydatic serology must be performed.
在23年的时间里，突尼斯的萨拉赫·阿扎伊斯研究所收集了7例卵巢棘球蚴感染病例，其中3例为双侧感染。这种定位很少见，即使在一个地方病流行的国家也是如此。这种疾病的病因和发病机制可能会引发许多不同的临床症状以及术前诊断问题。术后对这些病例进行随访以发现复发情况很重要。手术治疗的目的是同时治愈卵巢包虫囊肿和原始囊肿。经过这种治疗，可能会出现两个难题：第一个是囊肿术前破裂；第二个是这些年轻女性在双侧输卵管卵巢切除术后的生育能力问题。最后，当观察到盆腔囊肿时，必须进行系统性的包虫血清学检查。
