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A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease
Y H Lee,E H Park,W C Kim,Y D Choi and J H Park*
Department of Obstetrics & Gynecology, ChungAng Gil General Hospital, Inchon 405-220, Korea.
Received June 30, 1993; Accepted July 31, 1993.
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.
Figures
Figs. 1-2 Fig. 1. Section of a cystic mass in the pelvic omentum, showing necrotic content surrounded by fivrous wall. HE stain, × 40 original magnification.
Fig. 2. Inside the fibrous wall, numerous parasite eggs were palisading. The eggs measured 93-99 µm long, and showed operculun. HE stain, × 200 original magnification.
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