Genital schistosomiasis as a cause of female sterility and acute abdomen

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.