Dracunculosis of the broad ligament. A case of a "parasitic leiomyoma".
This report describes the case of a 29-year-old Nigerian woman with dracunculosis presenting as an adnexal mass. The patient had a history of two second-trimester spontaneous abortions for which she was being evaluated. During the evaluation, she was found to have multiple uterine leiomyomas and a calcified left adnexal mass by pelvic ultrasound and radiography. At laparotomy, the calcified mass was excised from the left broad ligament, and a myomectomy was performed. Histologic examination revealed a calcified, coiled guinea worm embedded in the fibrous tissue of the broad ligament. Only one other case of calcified guinea worm in the broad ligament has been reported in the literature.
Allaire
A D
AD
Department of Pathology, Emory University School of Medicine, Atlanta, Georgia.
Majmudar
B
B
D000291:Adnexal Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D000328:Adult; D001956:Broad Ligament / Q000469:parasitology / Q000473:pathology; D003937:Diagnosis, Differential; D004320:Dracunculiasis / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis*