Upper genital schistosomiasis mimicking an ovarian tumour.
Schistosomiasis is a widely prevalent disease in the world and usually involves the gastro-intestinal and urinary tract. The involvement of the female genital tract has been well-established in S. haematobium infections and is rare with S. japonicum infections. This case involves a Filipino female who was admitted to the University Hospital Kuala Lumpur for right iliac fossa pain and was diagnosed initially as acute appendicitis. Ultrasound showed a multi-septated pelvic cyst leading to a provisional diagnosis of ovarian torsion. Intraoperatively a right parovarian cyst was detected and removed. Histology revealed a congested cyst wall with areas of haemorrhage with several viable and calcified eggs of S. japonicum measuring 85 microns x 62 microns. Within the cystic cavity blood admixed with eggs were seen. Confirmation was carried out by using the indirect haemagglutination (IHA) test. This is a first report of upper genital schistosomiasis mimicking an ovarian tumour.
Shekhar
K C
KC
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur.
Soh
E B
EB
Jayalakshmi
P
P
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D012552:Schistosomiasis / Q000175:diagnosis* / Q000469:parasitology / Q000473:pathology; D012554:Schistosomiasis japonica