Journal of Postgraduate Medicine
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Year : 1989  |  Volume : 35  |  Issue : 4  |  Page : 217-8  

A filarial worm in the wall of a cystic teratoma of the ovary--(a case report).

SY Sane, CV Patel 
 

Correspondence Address:
S Y Sane





How to cite this article:
Sane S Y, Patel C V. A filarial worm in the wall of a cystic teratoma of the ovary--(a case report). J Postgrad Med 1989;35:217-8


How to cite this URL:
Sane S Y, Patel C V. A filarial worm in the wall of a cystic teratoma of the ovary--(a case report). J Postgrad Med [serial online] 1989 [cited 2020 Nov 24 ];35:217-8
Available from: https://www.jpgmonline.com/text.asp?1989/35/4/217/5681


Full Text



 INTRODUCTION



Adult filarial worms frequently lodge in lymph nodes and lymphatic plexus of male genitalia. We describe here a case, in which female genital organ was found to be involved.

 CASE REPORT



A forty-five year old female was admitted with complaints of vomiting and pain and distension of the abdomen of two days' duration. Her menstrual cycle was regular. On examination, she was febrile and restless. The abdomen was distended and a vague lump was palpable in the left iliac fossa. Peristaltic sounds were present. A clinical diagnosis of twisted ovarian cyst or localised peritonitis was made. The patient was operated upon and a partly twisted ovarian lump was removed. Uterus and other ovary were normal. Her post-operative period was uneventful.

The resected specimen was an oval, cystic mass measuring 14 x 9 x 10 cm. The covering serosa was smooth, but congested and discoloured. On sectioning, the cavity showed cheesy material and hair. The wall showed a firm nodule [Fig. 1], 1 cm in diameter, with a little granular material in the centre.

Histological sections confirmed the diagnosis of cystic teratoma or dermoid cyst of the ovary, and sections from the nodule revealed, a coiled up adult female filarial worm [Fig. 2], in the lymphatic space surrounded by fibrosis.

 DISCUSSION



Apart from lymph nodes, adult filarial worms are often detected in the epididymis, paratesticular tissues or sometimes in the breast. Comparatively, female genital organs are rarely involved. Detection of microfilaria in cervical or vaginal smears has been reported as incidental observations.[2],[4] These are probably due to microfilaria in circulation. In a large series describing organ involvement by adult filarial worms, ovaries were involved in three cases and uterus in one case.[3] Another report mentions a filarial nodule over a fallopian tube.[1] We have found filarial elephantiasis of the uterus and ovaries in one case (unpublished). Filarial worm in a teratoma is not reported earlier.

 ACKNOWLEDGEMENT



The authors are thankful to the Dean, Seth G.S. Medical College and K.E.M. Hospital, for permission to report this case.

References

1Madhavan, M., Sankaran, V., Chandra, K. and Reddy, D. J.: Atypical manifestations of filariasis in Pondichery. Ind. J. Surg., 34: 392-394, 1972.
2Mali, B. N. and Joshi, J. V.: Vaginal parasitosis. An unusual fiding in routine cervical smears. Acta Cytol., 31: 866-868, 1987.
3Reddy, C. R. R. M., Syamsundar, R. P. and Rajakumari, K.: Filarial worms :n organs. Ind. J. Med. Sci., 28: 494-496, 1974.
4Wolter, A., Krishnaswami, H. and Cariappa, A.: Microfilariae of Wuchereria bancrofti in cytologic smears. Acta Cytol, 27: 432-436, 1983.

 
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