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Amoebic cervicitis mimicking posterior wall fibroid: a rare presentation
Soma Mukherjee1, Ajit Nagarsenkar2, Savita Chandra2
1Department of Obstetrics and Gynaecology, Goa Medical College, Bambolim, Goa 403202, India; R. N. Cooper Municipal General Hospital, Mumbai, India.
Amoebiasis of the uterine cervix, a rare condition, can mimic a uterine fibroid. This case highlights the importance of histopathology for diagnosing cervical amoebiasis, leading to successful treatment.
Area of Science:
- Gynecology
- Infectious Diseases
- Pathology
Background:
- Amoebiasis of the uterine cervix is exceptionally rare.
- Clinical presentation can mimic cervical malignancy or uterine fibroids.
Observation:
- A 45-year-old female presented with symptoms initially suspected as a degenerating posterior wall fibroid.
- Surface papillomatous, ulcerated, and necrotic appearance raised suspicion for malignancy.
Findings:
- Histopathological examination of the surgical specimen confirmed Entamoeba histolytica trophozoites.
- This is the first reported case of cervical amoebiasis presenting as a uterine fibroid.
Implications:
- Highlights the need for considering rare infections in gynecological diagnoses.
- Emphasizes the critical role of histopathology in identifying Entamoeba histolytica in cervical lesions.
- Successful management involves surgical intervention and targeted antiamoebic therapy.
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