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Genital schistosomiasis as a cause of female sterility and acute abdomen

Andrea Schanz, M.D.aCorresponding Author Informationemail address, Joachim Richter, M.D.b, Ines Beyer, M.D.a, Stephan Ernst Baldus, M.D.c, Alexandra Petra Hess, M.D.a, Jan Steffen Kruessel, M.D.a

Received 22 January 2009; received in revised form 19 May 2009; accepted 19 May 2009. published online 08 February 2010.
Corrected Proof

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.

a University Hospital for Gynecology and Obstetrics, Düsseldorf, Germany

b Tropical Medicine Unit, University Hospital for Gastroenterology, Hepatology und Infectious Diseases, Düsseldorf, Germany

c Insitute of Pathology Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Germany

Corresponding Author InformationReprint 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.

PII: S0015-0282(09)01197-2

doi:10.1016/j.fertnstert.2009.05.043