[A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease]

Y. H. Lee, Lee YH, Park EH, E H Park, Kim WC, W C Kim, Choi YD, Y D Choi, Park JH, J H Park
The Korean journal of parasitology · 1993 · vol. 31(3) , pp. 295–7 · doi:10.3347/kjp.1993.31.3.295 · PMID:8241090
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A 51-year-old woman with pelvic inflammatory disease and uterine myoma was incidentally diagnosed with pelvic paragonimiasis, suggesting the infection may contribute to pelvic inflammation.

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This case report describes a 51-year-old woman who presented with lower abdominal pain and intermittent vaginal spotting, leading to surgical intervention for presumed inflammatory disease and uterine myoma. During a total abdominal hysterectomy, numerous Paragonimus westermani ova were incidentally discovered in the resected pelvic omentum, confirming a diagnosis of pelvic paragonimiasis. The authors propose that this parasitic infection may serve as one of the causative agents for the patient's pelvic inflammatory disease. Relevance to endometriosis: listed as a differential diagnosis for chronic pelvic pain and inflammation, though the paper's main focus is on parasitic infection rather than endometriosis or adenomyosis.

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Abstract

Paragonimus westermani is a lung fluke of humans that is usually found in the lungs but may be found elsewhere in many unusual locations. A case of pelvic paragonimiasis was found incidentally by surgical intervention of inflammatory disease and myoma uteri. She was a 51-year-old Korean woman complaining of lower abdominal pain and intermittent vaginal spotting. Numerous Paragonimus ova were observed in the resected omentum in the pelvis after total abdominal hysterectomy. It is suggested that pelvic paragonimiasis may be one of causative agents of pelvic inflammatory disease.
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- HOME - Korean J Parasitol - Volume 31(3); 1993 - Article Original Article Lee, Y H , Park, E H , Kim, W C , Choi, Y D , Park, J H Korean J Parasitol 1993;31(3):295-297. Department of Obstetrics & Gynecology, ChungAng Gil General Hospital, Inchon, Korea. Paragonimus westermani is a lung fluke of humans that is usually found in the lungs but may be found elsewhere in many unusual locations. A case of pelvic paragonimiasis was found incidentally by surgical intervention of inflammatory disease and myoma uteri. She was a 51-year-old Korean woman complaining of lower abdominal pain and intermittent vaginal spotting. Numerous Paragonimus ova were observed in the resected omentum in the pelvis after total abdominal hysterectomy. It is suggested that pelvic paragonimiasis may be one of causative agents of pelvic inflammatory disease.

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MeSH descriptors

Leiomyoma Paragonimiasis Pelvic Inflammatory Disease Uterine Neoplasms Female Humans Hysterectomy Leiomyoma Leiomyoma Middle Aged Pelvic Inflammatory Disease Pelvic Inflammatory Disease Uterine Neoplasms Uterine Neoplasms

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