医学診断法ジャーナル
オープンアクセス

概要

Clinical Suspicion of Abdominal Paragonimiasis was Confirmed after Emergency Laparotomy Together with Unfolding of Coexisting Endometriosis

Onuigbo WIB, Twomey D

The present study reports a human case of paragonimiasis which coexisted with endometriosis, leiomyoma and salpingitis in Nigeria. A 28-year-old woman from the Igbo ethnic group presented with acute colicky abdominal symptoms at a hinterland Missionary Hospital. Therefore, emergency laparotomy was carried out. This revealed uterine fibroids and dense lesions between the pelvic organs. There were nodules attached to the mesenteric border of the ileum. Biopsy from several sites was performed. The individually labeled samples were received at a Reference Pathology Laboratory where paragonimiasis, endometriosis, leiomyomata and salpingitis were diagnosed. The patient’s immediate post-operative recovery status was uneventful until she was lost to follow up.