Genital schistosomiasis mansoni: tubal tumor and parietal peritoneum involvement diagnosed during laparoscopy

Lambertucci, José Roberto; Villamil, Quésia Tamara Mirante Ferreira; Savi, Daniela; Dias, Ilveu Cosme

doi:10.1590/s0037-86822009000500019

Cited by 10 publications

(14 citation statements)

References 23 publications

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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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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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“…Data on the topographic distribution of genital schistosomiasis in Brazil and in other countries show the involvement of the following organs, in descending order of importance: ovaries, cervix, uterus, uterine tubes, vulva, and vagina 13 . In our series, female genital involvement showed a similar proportion of distribution as that described in the literature, with the ovary being the main organ affected (4/7) followed by the cervix (2/7) and the uterine body (1/7).…”

Section: Discussionmentioning

confidence: 99%

“…Female genital schistosomiasis is common in endemic areas, but there are few reports in the Brazilian and global medical literature 13 . Recently, the WHO has included female genital schistosomiasis in the category of gender-specific diseases that deserve priority research 13 .…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the WHO has included female genital schistosomiasis in the category of gender-specific diseases that deserve priority research 13 . It is estimated that 6-27% of girls and women with intestinal schistosomiasis suffer from pathological conditions induced by eggs entrapped in parts of the genital tract 13,14 .…”

Section: Discussionmentioning

confidence: 99%

“…Lesions may also represent a risk factor for infections due to sexually transmitted diseases, especially human immunodeficiency virus and human papilloma virus 13,15,17 . In the ectopic form of schistosomiasis involving the uterine cervix, postcoital, intermenstrual and post-menstrual bleeding, vaginal discharge and dysmenorrhea can occur -signs that are not direct consequences of schistosomiasis but result from its association with cervicitis (Figure 2A) 18 .…”

Section: Discussionmentioning

confidence: 99%

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Ectopic forms of schistosomiasis mansoni in the second macroregion of Alagoas: case series report and review of the literature

Lima

Oliveira

Silva

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Ectopic forms of schistosomiasis are those in which the parasitic element is localized outside the portal system, the natural habitat of the helminth. Although the prevalence rates of schistosomiasis are high in Brazil, clinical and epidemiological data on ectopic forms of the disease are still scarce. Methods: Cross-sectional, retrospective and descriptive epidemiological study in which cases with a confirmed histopathological diagnosis of an ectopic form of schistosomiasis were analyzed. The cases were selected from a database of the anatomic pathology files of a referral center. Results: Of the 21 cases identified, seven affected the female genital tract and five the male genital tract; four cases were identified in the peritoneum; two cases involved lymph nodes and two involved adipose tissue; and renal involvement was detected in one case. Conclusions: The lack of knowledge of the clinical presentation of ectopic forms of schistosomiasis makes the early identification and treatment of this form difficult, with direct implications in the reduction of morbidity and mortality in endemic areas.

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Female genital schistosomiasis (FGS): from case reports to a call for concerted action against this neglected gynaecological disease

Christinet

Lazdins-Helds²,

Stothard

et al. 2016

International Journal for Parasitology

114

131

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In recent years, control of neglected tropical diseases has been increasingly gaining momentum and interventions against schistosomiasis are being progressively scaled-up through expansion of donated praziquantel and preventive chemotherapy campaigns. However, the public health importance of female genital schistosomiasis is not fully recognised nor its control is adequately addressed. Taking a clinical and anatomopathological perspective, we evaluated the available literature to highlight the importance of female genital schistosomiasis and its connections with two sexually transmitted infections of global importance, Human Immunodeficiency Virus (HIV) and Human Papilloma Virus. Outside the long list of clinical descriptive reports beginning in 1899, there is presently a shocking gap in epidemiological assessment and a significant underestimation of the burden of FGS remains. The scarcity of integrated approaches to address female genital schistosomiasis calls for more concerted action in its detection, treatment and prevention alongside other concomitant women's health issues, otherwise female genital schistosomiasis will remain a neglected gynaecological disease.

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Genital schistosomiasis mansoni: tubal tumor and parietal peritoneum involvement diagnosed during laparoscopy

Cited by 10 publications

References 23 publications

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

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

Ectopic forms of schistosomiasis mansoni in the second macroregion of Alagoas: case series report and review of the literature

Female genital schistosomiasis (FGS): from case reports to a call for concerted action against this neglected gynaecological disease

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