Real time ultrasound diagnosis of ovarian and pelvic filariasis by filarial dance sign.

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This case report describes the incidental real-time ultrasound diagnosis of rare ovarian filariasis in a 24-year-old woman, identified by the characteristic filarial dance sign within an ovarian follicle.

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This case report describes the incidental diagnosis of ovarian filariasis in a 24-year-old female undergoing ultrasound for retained products of conception. The examination revealed the characteristic "filarial dance sign," defined as a twirling movement within an ovarian follicle, which is indicative of adult filarial worms. While lymphatic filariasis typically causes obstruction and edema, direct parasitic infestation of the ovary is exceptionally rare and usually identified only through histopathology after surgery. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Parasitic infestations of the ovary are quite rare with ovary being the least common site of infection in the female genital tract. Filariasis is a parasitic disease caused by filarial nematodes (Wuchereria bancrofti, Brugia malayai, Brugia timori). It causes lymphatic obstruction with resultant edema and increase in the size of the affected organ. We report a case of 24-year-old married female who presented to our radiology department for ultrasound evaluation with the main aim being to look for retained products of conception after the termination of early pregnancy. However on ultrasound examination ovarian filariasis was an incidental diagnosis with the classical twirling movement (filarial dance sign) seen in one of the follicles of the ovary. Ultrasound is the imaging modality of choice for detecting the adult filarial worm/microfilaria in the lymphatic system. Ovarian filariasis is a very rare diagnosis with only a handful of cases being reported in literature with most cases being diagnosed incidentally on histopathological examination of the post operative specimen.
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Real time ultrasound diagnosis of ovarian and pelvic filariasis by filarial dance sign DOI: https://doi.org/10.3941/jrcr.v17i7.4675Keywords: ovarian filariasis, ultrasound, pelvis, filarial dance signAbstract Parasitic infestations of the ovary are quite rare with ovary being the least common site of infection in the female genital tract. Filariasis is a parasitic disease caused by filarial nematodes (Wuchereria bancrofti, Brugia malayai, Brugia timori). It causes lymphatic obstruction with resultant edema and increase in the size of the affected organ. We report a case of 24-year-old married female who presented to our radiology department for ultrasound evaluation with the main aim being to look for retained products of conception after the termination of early pregnancy. However on ultrasound examination ovarian filariasis was an incidental diagnosis with the classical twirling movement (filarial dance sign) seen in one of the follicles of the ovary. Ultrasound is the imaging modality of choice for detecting the adult filarial worm/microfilaria in the lymphatic system. Ovarian filariasis is a very rare diagnosis with only a handful of cases being reported in literature with most cases being diagnosed incidentally on histopathological examination of the post operative specimen. Downloads Published Issue Section License Copyright (c) 2023 Journal of Radiology Case Reports This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.

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