Genital schistosomiasis as a cause of female sterility and acute abdomen
Received 22 January 2009; received in revised form 19 May 2009; accepted 19 May 2009. published online 08 February 2010.
Objective
To report the case of a Nigerian patient who suffered from sterility and underwent abdominal laparotomy to remove an adnexal tumor. Histologic analysis revealed Schistosoma haematobium ova.
Design
Case report.
Setting
Multidisciplinary group practice and teaching hospital.
Patients
One patient who underwent an abdominal laparotomy to remove an adnexal tumor.
Intervention(s)
In vitro fertilization and adnexal tumor resection via laparotomy.
Main Outcome Measure(s)
Treatment of the adnexal tumor affecting the reproductive health.
Result(s)
Histologic analysis performed on the tissue removed at surgery revealed fibrous patches around aggregates of calcified Schistosoma haematobium eggs in the fallopian tube wall.
Conclusion(s)
Schistosomiasis needs to be considered as a differential diagnosis of female infertility and sterility.
aUniversity Hospital for Gynecology and Obstetrics, Düsseldorf, Germany
bTropical Medicine Unit, University Hospital for Gastroenterology, Hepatology und Infectious Diseases, Düsseldorf, Germany
cInsitute of Pathology Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Germany
Reprint requests: Andrea Schanz, M.D., Heinrich-Heine-Universität Frauenklinik, Department of OBGYN, Moorenstrasse 5, 40225 Düsseldorf, Germany (TEL: +49-211-8104376; FAX: +49-211-8104380).
A.S. has nothing to disclose. J.R. has nothing to disclose. I.B. has nothing to disclose. S.E.B. has nothing to disclose. A.P.H. has nothing to disclose. J.S.K. has nothing to disclose.
ABSTRACT