Ovarian schistosomiasis: challenges of a neglected ectopic involvement of blood flukes. Case report and review of literature.

IF 4.4 Q1 PATHOLOGY PATHOLOGICA Pub Date : 2023-08-01 DOI:10.32074/1591-951X-891
Edrick Elias, Valeria Silvestri, Vivian Mushi, Martina Mandarano
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Abstract

Summary Introduction Female genital schistosomiasis (FGS), infection of Schistosoma spp. trematode in the gynaecological apparatus, is the most neglected sexual and reproductive health condition in sub-Saharan Africa with an estimated of 20-120 million cases. The ectopic entrapment of Schistosome eggs after oviposition can occur in 0.5% of cases in fallopian tubes and ovaries. The case We report a case of 38-years-old woman assessed for a 10 year history of infertility. On ultrasound, multiple cystic formations were observed in the ovary. Histology after oophorectomy to exclude malignancy showed granulomatous formations surrounding Schistosoma spp. eggs in proximity of corpus luteus and haemorragicum. Discussion Ectopic Schistosome oviposition, seen in the ovary and fallopian tubes as in our case, can be a potential cause of reproductive organ damage and complications such as infertility, ectopic pregnancy, miscarriage, premature birth, low birth weight, and even maternal death. Conclusions More studies are needed on ovarian FGS and its impact on women fertility to guide specific interventions targeting vulnerable population of childbearing age, contributing to the NTD WHO 2030 aim of eliminating schistosomiasis as a matter of public health.
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卵巢血吸虫病:被忽视的异位参与血吸虫的挑战。病例报告及文献复习。
导言:女性生殖器血吸虫病(FGS),即在妇科装置中感染血吸虫,是撒哈拉以南非洲最被忽视的性和生殖健康疾病,估计有2000万至1.2亿例。在输卵管和卵巢中,产卵后血吸虫卵异位夹持发生率为0.5%。病例:我们报告一例38岁的妇女评估10年的不孕症史。超声示卵巢多发囊性形成。卵巢切除排除恶性肿瘤后的组织学显示黄体和出血附近血吸虫卵周围有肉芽肿形成。讨论:异位血吸虫产卵,见于卵巢和输卵管,如本病例,可能是生殖器官损伤和并发症的潜在原因,如不孕症、异位妊娠、流产、早产、低出生体重,甚至产妇死亡。结论:需要对卵巢FGS及其对妇女生育能力的影响进行更多的研究,以指导针对育龄弱势人群的具体干预措施,促进实现世卫组织2030年将消除血吸虫病作为公共卫生问题的目标。
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来源期刊
PATHOLOGICA
PATHOLOGICA PATHOLOGY-
CiteScore
5.90
自引率
5.70%
发文量
108
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