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Am J Surg Pathol. 1993 Sep;17(9):937-40.

Dracunculosis of the broad ligament. A case of a "parasitic leiomyoma".

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  • 1Department of Pathology, Emory University School of Medicine, Atlanta, Georgia.


This report describes the case of a 29-year-old Nigerian woman with dracunculosis presenting as an adnexal mass. The patient had a history of two second-trimester spontaneous abortions for which she was being evaluated. During the evaluation, she was found to have multiple uterine leiomyomas and a calcified left adnexal mass by pelvic ultrasound and radiography. At laparotomy, the calcified mass was excised from the left broad ligament, and a myomectomy was performed. Histologic examination revealed a calcified, coiled guinea worm embedded in the fibrous tissue of the broad ligament. Only one other case of calcified guinea worm in the broad ligament has been reported in the literature.

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