Salpingitis due to Entamoeba histolytica.
We describe the pathology of a unique case of Fallopian tube amebiasis, associated with hydrosalpinx, in a 21-year-old woman. She complained of lower abdominal pain, had a foul-smelling green vaginal discharge and fever during one week. There was a discrete increase in body temperature and a painful abdominal palpation at the lower right side, with signs of local peritoneal irritation. Pathological examination showed a marked dilatation of the fallopian tube and hydrosalpinx. Microscopic examination showed a poorly formed granuloma composed of large macrophages with many Entamoeba histolytica trophozoites inside the fallopian tube. Even though it is a rare disease the correct diagnosis of female genital tract amebiasis is of great importance for the indication of proper therapy.
Calore
E E
EE
Emílio Ribas Institute, São Paulo, SP, Brazil. calore@uol.com.br
Calore
N M P
NM
Cavaliere
M J
MJ
D000328:Adult; D000818:Animals; D004748:Entamoeba histolytica / Q000302:isolation & purification*; D004749:Entamoebiasis / Q000175:diagnosis* / Q000469:parasitology* / Q000601:surgery; D005187:Fallopian Tubes / Q000469:parasitology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D012488:Salpingitis / Q000175:diagnosis* / Q000469:parasitology* / Q000601:surgery