Schistosoma mansoni: an unusual cause of ovarian pseudotumor.

Abstract:

BACKGROUND:Schistosomiasis is a disease prevalent throughout the world, but the involvement of ovary by Schistosoma mansoni eggs is rarely found. The pathological mechanisms involved in the infestation of the ovary remain unknown and the diagnosis usually occurs, retrospectively, by histopathological examination. An uncommon case of ovarian pseudotumor due to Manson's schistosomiasis is reported. CASE:A 40-year-old woman referred with recurrent poorly characterized pelvic pain underwent surgical exploration and right salpingo-oophorectomy to treat a mixed cystic and solid ovarian tumor demonstrated preoperatively by transvaginal ultrasound of pelvis. The pathological examination of surgical product revealed a pseudotumor due to granulomatous reaction triggered by eggs of S. mansoni. The patient was referred to clinical treatment with oxamniquine and remained asymptomatic for a year follow-up. CONCLUSIONS:Ovarian ectopic S. mansoni is rarely reported in the most current literature; however, this actual proportion of ovarian Manson's schistosomiasis may not represent the real female genital involvement rates and reflect an underestimation of internal genital disease.

journal_name

Arch Gynecol Obstet

authors

Batista TP,de Andrade JJ,Filho LA

doi

10.1007/s00404-009-1091-3

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

141-3

issue

1

eissn

0932-0067

issn

1432-0711

journal_volume

281

pub_type

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