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A rare case of Whipple disease presenting as a hydrosalpinx and granulomatous peritonitis.

J Infect Dev Ctries

August 2024

Department for Gastroenterology, Military Medical Academy, Belgrade, Serbia.

Article Synopsis
  • Whipple disease, caused by the bacterium Tropheryma whipplei, is a rare infection that primarily impacts the gastrointestinal and musculoskeletal systems but can also affect the heart, brain, and lungs, making diagnosis difficult due to varied symptoms.
  • A case study of a young woman revealed miliary lesions in the pelvis during laparoscopy, initially leading to a diagnosis of granulomatous salpingitis and peritonitis, but ultimately, Tropheryma whipplei was identified as the cause.
  • Timely and appropriate antibiotic treatment is crucial for a positive outcome in Whipple disease, emphasizing the need for increased awareness among healthcare professionals.
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Pseudoxanthomatous Salpingitis: A Rare Granulomatous Pathology of the Fallopian Tube.

J Hum Reprod Sci

March 2024

Department of Reproductive Medicine, Centre for Assisted Reproduction and Endoscopy, Rao Hospital, Coimbatore, Tamil Nadu, India.

Article Synopsis
  • Uncommon forms of granulomatous salpingitis include pseudoxanthoma salpingitis (PSX) and xanthogranulomatous salpingitis (XGS), which can resemble ovarian cancer in terms of symptoms and imaging findings.
  • Proper pre-operative evaluation is crucial to prevent unnecessary radical treatments for these conditions.
  • The report details a case of a 31-year-old woman with primary infertility and endometriosis, diagnosed with pseudoxanthoma salpinx, who also presented with significant fluid accumulation in her abdomen (gross ascites).
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Adnexal torsion caused by tuberculous pyosalpinx: An uncommon case report of urogenital tuberculosis.

Int J Surg Case Rep

January 2022

Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.

Background: According to the World Health Organization, TB is a global public health problem and it remains in 2020 the deadliest infectious disease in the world, ahead of Covid19 (Global Tuberculosis Report 2020, 2020). Morocco is an endemic area with more than 30,000 new cases of all forms of tuberculosis each year (Plan stratégique national 2018-2021 de lutte antituberculeuse, 2018). UGTB is the second most frequent localization after lymph node involvement and is responsible for 30 to 40% of all extrapulmonary cases.

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Peritoneal and upper genital tract tuberculosis.

Med Glas (Zenica)

February 2020

Gynecological Tumour Centre and European Competence Centre for Ovarian Cancer, Charité Universitätsmedizin Berlin, Germany.

Aim To present diagnostic and therapeutic possibilities for genital and peritoneal tuberculosis, mimicking to other pathological conditions, mainly, ovarian cancer. Methods Transabdominal and transvaginal ultrasound, computerized tomography, Ca125 and HE 4, ROMA- index (Risk of Ovarian Maligancy Algorithm index) and diagnostic laparoscopy were performed in order to diagnose genital tuberculosis in a female patient. Results: A 23-year-old woman from Morocco presented with intermitting abdominal pain, unintentional weight loss and primary infertility.

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Sarcoidosis is a systemic granulomatous disease that is most commonly manifested in the pulmonary system. Though the entire etiology of sarcoidosis remains unknown, it has been reported that Propionibacterium acnes (P. acnes) has been isolated from sarcoid lesions.

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