Endometriosis and SARS-CoV-2. A case report

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Despite the lack of information in the medical literature on endometrioid disease complicated by infectious and inflammatory diseases, past community-acquired pneumonia caused by the new coronavirus infection may cause purulent-septic complications of endometriosis. The effect of the virus on endometrioid cysts was hematogenous in this clinical case. The information presented in this report can help clinicians in conducting differential diagnostics in patients with a history of endometriosis and previous SARS-CoV-2, establishing a diagnosis, as well as determining the tactics of examination and treatment.

About the authors

Andrey N. Plekhanov

Academician I.P. Pavlov First St. Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences; Academy of Medical Education named after F.I. Inozemtsev

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-5876-6119
SPIN-code: 1132-4360
Scopus Author ID: 842119

MD, Dr. Sci. (Med.), Professor

Russian Federation, 6-8 L'va Tolstogo Str., Saint Petersburg, 197022; Saint Petersburg; Saint Petersburg

Vitaly F. Bezhenar

Saint Petersburg Clinical Hospital of the Russian Academy of Sciences

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN-code: 8626-7555

MD, Dr. Sci. (Med.), Professor

Russian Federation, 72 d. Torez Ave., Saint Petersburg

Fedor V. Bezhenar

Academician I.P. Pavlov First St. Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences

Email: fbezhenar@gmail.com
ORCID iD: 0000-0001-5515-8321
SPIN-code: 6074-5051

MD

Russian Federation, 6-8 L'va Tolstogo Str., Saint Petersburg 197022; 72 d. Torez Ave., Saint Petersburg

Tatyana A. Epifanova

Academician I.P. Pavlov First St. Petersburg State Medical University; Saint Petersburg Clinical Hospital of the Russian Academy of Sciences

Author for correspondence.
Email: epifanova-tatiana@mail.ru
ORCID iD: 0000-0003-1572-1719
SPIN-code: 5106-9715

MD

Russian Federation, 6-8 L'va Tolstogo Str., Saint Petersburg 197022; 72 d. Torez Ave., Saint Petersburg

References

  1. Adamjan LV, Kulakov VI, Andreeva EN. Jendometrioz. Klinicheskie rekomendacii. Moscow; 2016. (In Russ.)
  2. Dubrovina SO. Puncture sclerotherapy as an alternative to surgical treatment for ovarian cysts. Rossiyskiy vestnik akushera-ginekologa. 2006;(4):7–11. (In Russ.)
  3. van Leeuwen FE, Klip H, Mooij TM, et al. Risk of borderline and invasive ovarian tumours after ovarian stimulation for in vitro fertilization in a large Dutch cohort. Hum Reprod. 2011;26(12):3456–3465. doi: 10.1093/humrep/der322
  4. Kadrev AV. Punkcii pod kontrolem jehografii v diagnostike i lechenii zhidkostnyh obrazovanij organov malogo taza u zhenshhin [dissertation abstract]. Moscow, 2007. [cited 2021 March 21]. Available from: https://www.dissercat.com/content/punktsii-pod-kontrolem-ekhografii-v-diagnostike-i-lechenii-zhidkostnykh-obrazovanii-organov-/read
  5. Mikamo H, Kawazoe K, Sato Y, et al. Ovarian abscess caused by Peptostreptococcus magnus following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol. Infect Dis Obstet Gynecol. 1998;6(2):66–68. doi: 10.1002/(SICI)1098-0997(1998)6:2<66::AID-IDOG7>3.0.CO;2-5
  6. Padilla SL. Ovarian abscess following puncture of an endometrioma during ultrasound-guided oocyte retrieval. Hum Reprod. 1993;8(8):1282–1283. doi: 10.1093/oxfordjournals.humrep.a138241
  7. Driggin E, Madhavan MV, Bikdeli B, et al. Cardiovascular considerations for patients, health care workers, and health systems during the COVID-19 pandemic. J Am Coll Cardiol. 2020;75(18):2352–2371. doi: 10.1016/j.jacc.2020.03.031
  8. Johns Hopkins University. Coronavirus COVID-19 global cases by the center for systems science and engineering (CSSE). [cited 2021 March 21]. Available from: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6
  9. Li R, Pei S, Chen B, et al. Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2). Science. 2020;368(6490):489–493. doi: 10.1126/science.abb3221
  10. Mizumoto K, Kagaya K, Zarebski A, Chowell G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. Euro Surveill. 2020;25(10):2000180. Corrected and republished from: Euro Surveill. 2020;25(22). doi: 10.2807/1560-7917.ES.2020.25.10.2000180.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Computed tomography of the lungs, April 2020 (picture of viral pneumonia caused by the SARS-CoV-2 virus, lung damage ~ 40%)

Download (109KB)
3. Fig. 2. Computed tomography of the lungs, June 2020, upon admission (picture of fibrotic changes in the lung after viral pneumonia caused by the SARS-CoV-2 virus)

Download (101KB)
4. Fig. 3. Magnetic resonance imaging of the pelvis on admission. The left ovary contains a multi-chambered formation with parietal components and finely dispersed contents (arrow)

Download (67KB)
5. Fig. 4. Magnetic resonance imaging of the pelvis on admission. The right ovary contains a single-chamber formation with finely dispersed contents (arrow)

Download (65KB)
6. Fig. 5. Magnetic resonance imaging of the pelvis on admission. The left ovary contains a multi-chambered formation with parietal components and finely dispersed contents, the right ovary contains a single-chambered formation with finely dispersed contents (arrows)

Download (77KB)
7. Fig. 6. The wall of the endometrioid ovarian cyst: endometrioid epithelium (arrows), cytogenic stroma (asterisk), foci of hemosiderosis (triangular pointers)

Download (344KB)
8. Fig. 7. Severe chronic oophoritis: pronounced lymphoplasmacytic infiltration with an admixture of few neutrophils (arrows), proliferation of granulation tissue, hemorrhages, hemosiderosis (triangular pointers). Hematoxylin and eosin staining

Download (419KB)

Copyright (c) 2021 Eсо-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies