Ekoukou D, Luzolo-Lukanu A, Mulard C, Bazin C, Ng Wing Tin L
Service de Gynécologie-Obstétrique, CHG, Hôpital Delafontaine, Saint-Denis.
J Gynecol Obstet Biol Reprod (Paris). 1995;24(8):819-24.
It is now recognized that eggs of Schistosoma haematobium are most commonly found in the bladder because this parasitic infestation usually affects the urinary tract. However, numerous papers have been published on the occurrence of schistosomiasis of the female genital tract. The frequency of distribution of schistosomal disease of the genital tract has not been estimated because only cases with overt disease are usually considered. The involvement of Fallopian tubes is not rare in endemic areas and may predispose to ectopic pregnancy and infertility. In this paper, we report two cases of Schistosomiasis in black African women due to Schistosoma haematobium localized in the peritoneum and the Fallopian tubes. Our first patient had primary infertility associated with bilateral hydrosalpinx and peritoneal inflammatory reaction. Our second patient had an ectopic pregnancy associated with chronic salpingitis. In the both cases, histological examination showed the presence of schistosomal eggs in the peritoneum and the Fallopian tubes. These cases suggest that bilharziasis should now be considered as a urogenital disease and not only as an urinary tract disease.
现在人们认识到，埃及血吸虫卵最常出现在膀胱中，因为这种寄生虫感染通常影响泌尿道。然而，已经有许多关于女性生殖道血吸虫病发生情况的论文发表。由于通常只考虑有明显疾病的病例，所以尚未对生殖道血吸虫病的分布频率进行估计。在流行地区，输卵管受累并不罕见，可能会导致异位妊娠和不孕。在本文中，我们报告了两例黑人非洲女性因埃及血吸虫寄生于腹膜和输卵管而患血吸虫病的病例。我们的首例患者患有原发性不孕症，伴有双侧输卵管积水和腹膜炎症反应。我们的第二例患者患有与慢性输卵管炎相关的异位妊娠。在这两例病例中，组织学检查均显示腹膜和输卵管中有血吸虫卵。这些病例表明，血吸虫病现在应被视为一种泌尿生殖系统疾病，而不仅仅是一种泌尿系统疾病。
