ABSTRACT
Schistosomiasis is the second endemic parasitic disease in the world and is a common cause of urogenital infections. Ectopic pregnancies due to tubal obstruction by schistosoma's eggs are usually reported in Africa. Schistosomiasis also affects travelers but infection of the female genital tract is less frequently described. We report an unusual clinical case of two successive ectopic pregnancies with tubal schistosomiasis in a French woman, seven years after a travel to Mali. The first event was discovered after histologic examination of salpingectomy and the second event required a controlateral salpingotomy with an injection of methotrexate, two months later.
Subject(s)
Fallopian Tube Diseases/complications , Pregnancy, Ectopic/parasitology , Schistosomiasis haematobia/complications , Adult , Fallopian Tube Diseases/parasitology , Female , Humans , Mali , Methotrexate/administration & dosage , Pregnancy , Salpingectomy , TravelSubject(s)
Fallopian Tube Diseases/diagnosis , Fallopian Tube Neoplasms/diagnosis , Schistosomiasis haematobia/diagnosis , Adult , Animals , Fallopian Tube Diseases/parasitology , Fallopian Tube Diseases/pathology , Fallopian Tube Neoplasms/pathology , Female , Humans , Schistosoma haematobium/isolation & purification , Schistosomiasis haematobia/pathology , ZimbabweABSTRACT
Hydatic cyst of the Fallopian tube is an exceptional localization, the diagnosis of which is frequently confirmed preoperatively. A 44-year-old woman was addressed for pelvic mass with fortuitous discovery. The diagnosis preoperatively confirmed by the extemporaneous histological study was hydatic cyst of the Fallopian tube. Salpingectomy was required. The pelvic hydatic cyst, particularly in the Fallopian tube, is a rare complaint. Clinics and biology were very important for diagnosis but only anatomopathology can confirm diagnosis of hydatic cyst. The treatment of Fallopian tube hydatic cyst is surgival and often radical (salpingectomy).
Subject(s)
Echinococcosis/diagnosis , Fallopian Tube Diseases/parasitology , Adult , Echinococcosis/pathology , Echinococcosis/surgery , Fallopian Tube Diseases/pathology , Fallopian Tube Diseases/surgery , Female , Humans , Salpingectomy , TunisiaABSTRACT
Primary lesions of hydatid cysts caused by Echinococcus granulosus, are frequently localized in liver, followed by lungs, muscles, kidneys, spleen and bones. Pelvic inoculations are rare and usually occur as a secondary infection. In this report, a case of primary hydatid cyst in the abdomen, spleen and pelvic organs, clinically mimicking tuboovarian abscess, was presented. A nineteen-years-old female patient was admitted to the gynecology outpatient clinic with the complaint of abdominal pain for two days. The case was considered as tuboovarian abscess according to the initial examination findings and hospitalized for treatment and follow-up. In transabdominal ultrasound examination, 44 x 43 mm thin-walled septated cysts in the left ovary and 65 x 65 mm thin-walled multiloculated cysts in the spleen were detected. Abdominal computerized tomography also yielded multivesicular cystic masses in spleen, front abdominal wall and the left ovary. Since the clinical and vital findings worsened, she initially underwent ovarian cystectomy by laparoscopy, then abdominal cystectomy and splenectomy. The operation material examined macroscopically was compatible with hydatid cyst with the characteristics of a germinative membrane and hydatid sand. The diagnosis was confirmed by histopathological examination. The patient was discharged without complication on post-operative sixth day, with a recommendation of albendezol (15 mg/kg/day, 3 months) treatment. Since the patient had undergone emergency surgery, indirect hemaglutination (IHA) test had not been performed pre-operatively. However, post-operative third month serum sample revealed a positive (1/32) IHA titer. In conclusion, hydatid cyst should be kept in mind in the differential diagnosis of patients with abdominal pain, in response to the high prevalence of the parasite in our country.
Subject(s)
Abdominal Abscess/diagnosis , Echinococcosis/diagnosis , Fallopian Tube Diseases/diagnosis , Ovarian Diseases/diagnosis , Splenic Diseases/diagnosis , Abdominal Abscess/parasitology , Abdominal Abscess/surgery , Abdominal Pain , Diagnosis, Differential , Echinococcosis/complications , Echinococcosis/surgery , Fallopian Tube Diseases/parasitology , Fallopian Tube Diseases/surgery , Female , Humans , Ovarian Diseases/parasitology , Ovarian Diseases/surgery , Splenectomy , Splenic Diseases/parasitology , Splenic Diseases/surgery , Young AdultABSTRACT
S. haematobium is an important cause of urinary schistosomiasis, and symptomatic female genital infection is a common gynecological finding in areas where S. haematobium is prevalent. On the other hand, genital manifestations of intestinal schistosomas as S. mansoni are not frequent or are misdiagnosed. A case of a 40-year-old woman with abnormal uterine bleeding and asymptomatic tubal infection by S. mansoni identified in histological examination is presented.
Subject(s)
Fallopian Tube Diseases/parasitology , Schistosomiasis mansoni/diagnosis , Adult , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/drug therapy , Female , Humans , Oxamniquine/therapeutic use , Schistosomiasis mansoni/drug therapy , Schistosomicides/therapeutic useABSTRACT
S. haematobium is an important cause of urinary schistosomiasis, and symptomatic female genital infection is a common gynecological finding in areas where S. haematobium is prevalent. On the other hand, genital manifestations of intestinal schistosomas as S. mansoni are not frequent or are misdiagnosed. A case of a 40-year-old woman with abnormal uterine bleeding and asymptomatic tubal infection by S. mansoni identified in histological examination is presented.
Subject(s)
Adult , Female , Humans , Fallopian Tube Diseases/parasitology , Schistosomiasis mansoni/diagnosis , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/drug therapy , Oxamniquine/therapeutic use , Schistosomiasis mansoni/drug therapy , Schistosomicides/therapeutic useABSTRACT
Female genital schistosomiasis is not uncommon in endemic areas for schistosomiasis, but there are few reports in the Brazilian medical literature. Here, we describe the case of a 31-year-old woman with lower abdominal pain who was diagnosed as presenting a fallopian tube tumor caused by Manson's schistosomiasis. The diagnosis was delayed because her symptoms were considered nonspecific. Involvement of the parietal peritoneum of the ovarian fossa was observed during laparoscopy and confirmed by histological analysis. The left tube and the tumor were excised and schistosomiasis was treated with praziquantel. She presented a full recovery and options for future reproduction are under evaluation.
Subject(s)
Fallopian Tube Diseases/parasitology , Schistosoma mansoni/isolation & purification , Schistosomiasis mansoni/diagnosis , Adult , Animals , Anthelmintics/therapeutic use , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/surgery , Female , Humans , Laparoscopy , Praziquantel/therapeutic use , Schistosomiasis mansoni/drug therapyABSTRACT
Female genital schistosomiasis is not uncommon in endemic areas for schistosomiasis, but there are few reports in the Brazilian medical literature. Here, we describe the case of a 31-year-old woman with lower abdominal pain who was diagnosed as presenting a fallopian tube tumor caused by Manson's schistosomiasis. The diagnosis was delayed because her symptoms were considered nonspecific. Involvement of the parietal peritoneum of the ovarian fossa was observed during laparoscopy and confirmed by histological analysis. The left tube and the tumor were excised and schistosomiasis was treated with praziquantel. She presented a full recovery and options for future reproduction are under evaluation.
Esquistossomose genital feminina não é incomum em áreas endêmicas para esquistossomose, mas, há poucos relatos na literatura médica brasileira. Descrevemos aqui, o caso de uma paciente de 31 anos com dor abdominal no baixo ventre que recebeu o diagnóstico de tumor da trompa de falópio causada pela esquistossomose mansônica. O diagnóstico foi retardado porque os sintomas foram considerados inespecíficos. Havia envolvimento do peritônio parietal da fossa ovárica durante a laparoscopia, confirmado à histologia. A tuba esquerda e o tumor foram extirpados e a esquistossomose foi tratada com praziquantel. A paciente apresentou recuperação completa e opções para reprodução futura estão sob avaliação.
Subject(s)
Adult , Animals , Female , Humans , Fallopian Tube Diseases/parasitology , Schistosoma mansoni/isolation & purification , Schistosomiasis mansoni/diagnosis , Anthelmintics/therapeutic use , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/surgery , Laparoscopy , Praziquantel/therapeutic use , Schistosomiasis mansoni/drug therapyABSTRACT
Several authors have reported schistosomiasis caused by Schistosoma haematobium in the female genital tract of patients in endemic areas. This work describes tubal schistosomiasis by Schistosoma mansoni in a Brazilian woman submitted to hysterectomy for uterine myomatosis and metrorrhagia. Macroscopy evidenced hydrosalpinx of the left tube and multiple Schistosoma mansoni eggs were identified by anatomopathological examination. This article illustrates a rare form of schistosomiasis as the cause of tubal damage.
Subject(s)
Fallopian Tube Diseases/parasitology , Schistosomiasis mansoni , Adult , Female , Humans , Schistosomiasis mansoni/diagnosis , Schistosomiasis mansoni/parasitologyABSTRACT
Echinococcus infestation is endemic in certain parts of the world. Extrahepatic dissemination of the disease is rare. Successful management of these patients and possible routes for abdominopelvic dissemination of the disease are discussed.
Subject(s)
Echinococcosis/diagnosis , Fallopian Tube Diseases/diagnosis , Peritoneal Diseases/diagnosis , Animals , Diagnosis, Differential , Echinococcosis/parasitology , Echinococcosis/surgery , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/parasitology , Echinococcosis, Hepatic/surgery , Echinococcus granulosus/isolation & purification , Fallopian Tube Diseases/parasitology , Fallopian Tube Diseases/surgery , Fallopian Tubes/parasitology , Female , Follow-Up Studies , Humans , Hysterectomy/methods , Laparotomy , Middle Aged , Omentum/parasitology , Ovariectomy , Peritoneal Diseases/parasitology , Peritoneal Diseases/surgery , Tomography, X-Ray ComputedABSTRACT
Ectopic localization of oxyuriasis is rare and frequently does not cause clinical problems. It has been reported in the vagina, endometrium, fallopian tube, peritoneal surface and ovary; In these localizations it often causes pseudo-tumoral granulomas. The aim of our study was to describe etiopathogenic and clinical criteria of this rare pathology. We report one case of endometrial enterobiasis which developed in a 28-year-old women and two cases of tubo-ovarian pseudotumoral abscesses containing the ova of enterobius which appeared as a latero-uterin mass in women aged 28 and 38 years. Enterobius vermicularis may cause tubo-ovarian abscess formation with necrotizing epitheloid granulomas mimicking tumors. Antihelminth therapies are successful.
Subject(s)
Enterobiasis , Fallopian Tube Diseases/parasitology , Ovarian Diseases/parasitology , Adult , Enterobiasis/diagnosis , Fallopian Tube Diseases/diagnosis , Female , Humans , Ovarian Diseases/diagnosisABSTRACT
We are reporting the case of a 21-year-old woman hospitalized for pelvic pains in a context of secondary amenorrhoea, whose examinations revealed a tubal pregnancy After surgical operation, the examination of the operative part showed a schistosomal tubal obstruction. Schistosomal tubal obstructions are the cause of ectopic pregnancies and infertility not to be forgotten in endemic areas. The implementation of a control programme based on chemotherapy by praziquantel will enable the reduction of their frequency.
Subject(s)
Fallopian Tube Diseases/complications , Pregnancy Complications, Infectious/parasitology , Pregnancy, Tubal/etiology , Schistosoma haematobium/isolation & purification , Schistosomiasis haematobia/complications , Adult , Animals , Calcinosis/etiology , Combined Modality Therapy , Diagnosis, Differential , Eggs , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/drug therapy , Fallopian Tube Diseases/parasitology , Fallopian Tube Diseases/surgery , Female , Fetal Death/etiology , Fetal Death/parasitology , Humans , Laparotomy , Metrorrhagia/etiology , Ovarian Cysts/diagnosis , Pelvic Pain/etiology , Praziquantel/therapeutic use , Pregnancy , Pregnancy Complications, Infectious/drug therapy , Pregnancy Complications, Infectious/surgery , Pregnancy, Tubal/diagnosis , Pregnancy, Tubal/parasitology , Pregnancy, Tubal/surgery , Schistosomiasis haematobia/drug therapy , Schistosomicides/therapeutic useSubject(s)
Enterobiasis/diagnosis , Genital Diseases, Female/parasitology , Abdominal Pain , Adult , Ciprofloxacin/therapeutic use , Enterobiasis/therapy , Fallopian Tube Diseases/parasitology , Fallopian Tubes/surgery , Female , Fever , Humans , Hysterectomy , Mebendazole/therapeutic use , Ovarian Diseases/parasitology , Ovariectomy , Pregnancy , Pregnancy Complications, Infectious/parasitology , Uterine Diseases/parasitologyABSTRACT
A 37-year-old woman was seen for pelvic pain. Ultrasonography and laparoscopy led to the diagnosis of bilateral hydrosalpinx. Analgesics and antibiotics were given several times but the clinical picture worsened. Laparotomy was performed and disclosed bilateral hydatidosis of the fallopian tubes requiring bilateral salpingectomy. Postoperatively, hydatic serology was strongly positive and a calcified hydatic splenic cyst was identified. Medical treatment with albendazole was prescribed for these multiple localizations of hydatid cysts.
Subject(s)
Echinococcosis/diagnosis , Fallopian Tube Diseases/parasitology , Adult , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Echinococcosis/drug therapy , Echinococcosis/surgery , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/drug therapy , Female , Humans , Laparoscopy , Splenic Diseases/parasitology , Splenic Diseases/therapy , UltrasonographyABSTRACT
The aim of this case report is to underline that the hydratic disease is still a healthcare problem in our country. Moreover, the atypical site of the cyst, as shown in the report, is a rare event and sometimes, an intraoperative or histological finding. Difficulties could arise from the operative management, during the radical procedures, to preserve some anatomic important structures. Modern imagistic data will certainly improve the preoperative diagnosis.
Subject(s)
Echinococcosis/diagnostic imaging , Fallopian Tube Diseases/diagnostic imaging , Muscular Diseases/diagnostic imaging , Adult , Echinococcosis/parasitology , Echinococcosis/surgery , Fallopian Tube Diseases/parasitology , Fallopian Tube Diseases/surgery , Female , Humans , Lumbosacral Region , Middle Aged , Muscular Diseases/parasitology , Muscular Diseases/surgery , Treatment Outcome , UltrasonographySubject(s)
Cesarean Section , Fallopian Tube Diseases/parasitology , Fetal Membranes, Premature Rupture/complications , Peritoneal Diseases/parasitology , Pregnancy Complications, Parasitic/parasitology , Schistosomiasis/parasitology , Adult , Emergencies , Fallopian Tube Diseases/complications , Female , Fetal Membranes, Premature Rupture/surgery , Hospitals, University , Humans , Peritoneal Diseases/complications , Pregnancy , Pregnancy, Multiple , Schistosomiasis/complications , SenegalABSTRACT
We present the case of a 33-year-old patient who had undergone hysterectomy due to an in situ carcinoma of the uterine cervix; exploratory laparotomy was carried out for a suspected abscessed pelvic tumor. It was confirmed that the two Fallopian tubes and ovaries were abscessed and exeresis was carried out. The anatomicopathological study of these showed granulomas containing gravid female specimens of the Enterobius vermicularis species.