Vulvar schistosomiasis mansoni

Lambertucci, José Roberto; Voieta, Izabela; Brot, Marina De

doi:10.1590/s0037-86822008000400026

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…26 According to the data in the literature, the ovaries are the most affected organ in cases of female genital schistosomiasis, followed by the cervix, the fallopian tubes, the uterus and the vulvae. 11,27,28 This is due to the migration of the adult parasites through a complex vascular network. Initially, the parasites leave the portal vein and migrate against the venous flow until reaching the anorectal plexus.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Manson's Schistosomiasis: Rare Diagnosis or Underestimated Prevalence?

Gomes

Domingues

Júnior

et al. 2017

Rev Bras Ginecol Obstet

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The occurrence of Manson's schistosomiasis in organs of the female reproductive tract is an uncommon event, given that the etiological agent for this disease is a blood parasite that inhabits the mesenteric veins. In this case report, a 45-year-old female patient reported that her first symptoms had been strong pain in the left iliac region around two years earlier. An endovaginal pelvic ultrasonography showed that the left ovary was enlarged, and the report suggested that this finding might be correlated with clinical data and tumor markers. After being examined at several healthcare services, the patient was referred to an oncology service due to suspected neoplasia, where she underwent a left ovariectomy. The result from the histopathological examination showed the presence of granulomatous inflammatory processes surrounding both viable and calcified eggs of Schistosoma mansoni. There was no evidence of any neoplastic tissue. The patient was medicated and followed-up as an outpatient. Palavras-chave ResumoA ocorrência da esquistossomose mansônica em órgãos do aparelho reprodutor feminino é um evento pouco comum, tendo em vista que o agente etiológico desta doença é um parasito sanguíneo que habita as veias mesentéricas. Neste relato de caso, uma paciente de 45 anos referiu como primeira sintomatologia fortes dores na região ilíaca esquerda há cerca de 2 anos. Uma ultrassonografia pélvica endovaginal identificou aumento do ovário esquerdo, e o laudo sugeriu correlacionar tal achado com dados clínicos e marcadores tumorais. Após passar por vários serviços de saúde, a paciente foi encaminhada para um serviço de oncologia por suspeita de neoplasia, sendo submetida a uma ovariectomia à esquerda. O resultado do exame histopatológico evidenciou a presença de processos inflamatórios granulomatosos em torno de ovos viáveis e calcificados de Schistosoma mansoni. Não houve qualquer evidência de tecido neoplásico. A paciente foi medicada, e seguiu em acompanhamento ambulatorial.

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Section: Discussionmentioning

confidence: 99%

Ovarian Manson's Schistosomiasis: Rare Diagnosis or Underestimated Prevalence?

Gomes

Domingues

Júnior

et al. 2017

Rev Bras Ginecol Obstet

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“…Feldmeier et al estimated that 6 to 27% of girls and women with intestinal schistosomiasis at least temporarily suffer from pathology induced by eggs sequestered somewhere in their genital organs 65 . In Brazil, this complication of the disease has not been the subject of systematic study, but there have been case reports [66][67][68] .…”

Section: Complications Of Hepatosplenic Schistosomiasismentioning

confidence: 99%

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Lambertucci

2014

Rev. Soc. Bras. Med. Trop.

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Different aspects of hepatosplenic schistosomiasis are revisited here. Manson's schistosomiasis causes periportal fi brosis and portal hypertension in approximately 6% of infected subjects, usually with preservation of their hepatic function. The assessment of liver involvement is of major importance in determining the prognosis and risk of complications from schistosomiasis, such as upper digestive bleeding secondary to variceal rupture. For many years, the diagnosis of hepatosplenic schistosomiasis and liver fi brosis was made by abdominal palpation and the fi nding of liver and/or spleen enlargement. However, there is no consensus regarding the clinical parameters of the liver and spleen to be considered in this physical evaluation. For the last three decades, abdominal ultrasound (US) has become the best imaging technique to evaluate liver fi brosis caused by schistosomiasis mansoni. However, US is a subjective procedure and is therefore examiner-dependent. Magnetic resonance imaging (MRI) fi ndings have provided valuable information in addition to ultrasound and clinical examination. The combination of a comprehensive history and physical examination, basic laboratory tests (a stool examination for Schistosoma mansoni eggs and a blood cell count), biomarkers for liver fi brosis/portal hypertension and imaging methods seem to offer the best approach for evaluating patients with this disease. In situations where research is involved or in patients with severe disease, MRI may be considered.

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“…A study in South Africa including 139 gynecological examinations revealed that 79% of bilharzia infestation caused not only by S. haematobium throughout the genital area, including the placenta but also by S. mansoni in the Fallopian tubes and vulva (9). Another study in Tanzania on 38 400 patients found 170 cases of FGS with bilharzia eggs in the cervix (101 cases), vagina and vulva (22 cases), and Fallopian tubes (15 cases) (10); however, the relationship between FGS and cervix cancer was not demonstrated (11).…”

Section: International Journal Of Vulvar Schistosomiasis: An Infrequent Localization Of the Female Genital Schistosomiasismentioning

confidence: 99%

Vulvar Schistosomiasis: An Infrequent Localization of the Female Genital Schistosomiasis

Bourée

Bélilovsky

Plantier

et al. 2020

Int J Med Parasitol Epidemiol Sci

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Female genital schistosomiasis (FGS) is frequent in sub-Saharian Africa, Madagascar, and the Middle East, with localization in all organs of the reproductive tract, which causes many problems. However, vulvar localization of this disease is uncommon. The patient was a young woman of 25 years old with a complaint of a mass in the right labia minora. After the tumor removal, pathology examination revealed inflammatory granuloma with eggs of Schistosoma haematobium. The patient has never travelled to an endemic tropical area but has bathed in a contaminated river in Corsica, an island located in the south of France. The diagnosis of vulvar schistosomiasis can only be confirmed by biopsy of the lesion.

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Vulvar schistosomiasis mansoni

Cited by 5 publications

References 3 publications

Ovarian Manson's Schistosomiasis: Rare Diagnosis or Underestimated Prevalence?

Ovarian Manson's Schistosomiasis: Rare Diagnosis or Underestimated Prevalence?

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Vulvar Schistosomiasis: An Infrequent Localization of the Female Genital Schistosomiasis

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