Extraintestinal oxyuriasis – report of three cases and review of literature
Authors:
Ondrej Ondič 1,2; Ludvík Neubauer 2; Bohuslav Sosna 2
Authors‘ workplace:
Šiklův ústav patologie, Univerzita Karlova Praha, Lékařská fakulta Plzeň, Česká Republika
1; Bioptická laboratoř s. r. o., Plzeň, Česká Republika
2
Published in:
Čes.-slov. Patol., 50, 2014, No. 3, p. 152-154
Category:
Original Article
Overview
Extraintestinal oxyuriasis, in our experience with three affected women of fertile age, presented itself as a solitary fibrotic nodular lesion, with a varying location. The sites of location were: parietal peritoneum, serous surface of the uterus and wall of the uterine tube. The size of the nodules was 5 to 10 mm. Histologically, the lesions were hypocellular fibrotic nodules with a variable amount of neutrophils and amorphous eosinophilic material in the center, harbouring eggs of the parasite and remnants of pinworm cuticle. All three lesions were asymptomatic, only being discovered incidentally during the operations for unrelated conditions. Their peroperative recovery by a surgeon did not alter the course of surgery. These findings document the ability of pinworms to migrate into the abdominal cavity via the female genital tract.
Keywords:
oxyuriasis – enterobiasis – pinworm - extraintestinal – abdominal – Enterobius vermicularis
Sources
1. Sinniah B, Leopairut J, Neafie RC, Connor DH, Voge M. Enterobiasis: a histopathological study of 259 patients. Ann Trop Med Parasitol 1991; 85(6): 625-635.
2. McMahon JN, Connolly CE, Long SV, Meehan FP. Enterobius granulomas of the uterus, ovary and pelvic peritoneum. Two case reports. Br J Obstet Gynaecol 1984; 91(3): 289-290.
3. Kogan J, Alter M, Price H. Bilateral enterobius vermicularis salpingo-oophoritis. Postgrad Med 1983; 73(1): 305, 309-310.
4. Schnell VL, Yandell R, Van Zandt S, Dinh TV. Enterobius vermicularis salpingitis: a distant episode from precipitating appendicitis. Obstet Gynecol 1992; 80(3 Pt 2): 553-555.
5. Young C, Tataryn I, Kowalewska-Grochowska KT, Balachandra B. Enterobius vermicularis infection of the fallopian tube in an infertile female. Pathol Res Pract 2010; 206(6): 405-407.
6. Beckman EN, Holland JB. Ovarian enterobiasis--a proposed pathogenesis. Am J Trop Med Hyg 1981; 30(1): 74-76.
7. Hong ST, Choi MH, Chai JY, Kim YT, Kim MK, Kim KR. A case of ovarian enterobiasis. Korean J Parasitol 2002; 40(3): 149-151.
8. McCabe K, Nahn PA, Sahin AA, Mitchell MF. Enterobiasis of the ovary in a patient with cervical carcinoma in situ. Infect Dis Obstet Gynecol 1995; 2(5): 231-234.
9. Dalrymple JC, Hunter JC, Ferrier A, Payne W. Disseminated intraperitoneal oxyuris granulomas. Aust N Z J Obstet Gynaecol 1986; 26(1): 90-91.
10. Pampiglione S, Rivasi F. Enterobiasis in ectopic locations mimicking tumor-like lesions. Int J Microbiol 2009; 642481. doi: 10.1155/2009/642481. Epub 2009 Jun 14.
11. Craggs B, De Waele E, De Vogelaere K, et al. Enterobius vermicularis infection with tuboovarian abscess and peritonitis occurring during pregnancy. Surg Infect (Larchmt) 2009; 10(6): 545-547.
Labels
Anatomical pathology Forensic medical examiner ToxicologyArticle was published in
Czecho-Slovak Pathology
2014 Issue 3
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