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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 4  |  Page : 228-230

Schistosomiasis and second trimester tubal pregnancy in a multiparous female: A report and review of its pathology


1 Department of Pathology and Morbid Anatomy, Ahmadu Bello University Teaching Hospital, Ahmadu Bello University, Zaria, Kaduna State, Northwest Nigeria
2 Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Ahmadu Bello University, Zaria, Kaduna State, Northwest Nigeria

Correspondence Address:
Dr. Modupeola Omotara Samaila
Department of Pathology and Morbid Anatomy, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Northwest Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.174677

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Schistosomiasis remains a burden in sub-Saharan countries and detection is often incidental in females. Also, there is an increase in the incidence of tubal ectopic pregnancy due to pelvic inflammatory diseases (PIDs). The coexistence of these two pathologies in the female reproductive organs may lead to impaired fertility. We present a 28-year-old gravida 7, para 4 + 2 female with 2-months amenorrhea, 6 days lower abdominal pain, and 2-h history of dizzy spells seen at the Accident and Emergency Unit of our hospital. Clinical examination and ultrasound findings confirmed a ruptured right tubal gestation. She had salpingectomy and specimen was sent to the histopathology laboratory for analysis. Grossly, a well-formed male fetus consistent with 4-lunar-month gestation was seen in the expanded fallopian tube. Histopathologic sections from the tube revealed a ruptured expanded wall containing chorionic villi, decidua, and numerous Schistosoma haematobium ova. There was extensive fibrosis of the tubal wall. The diagnosis of schistosomiasis in reproductive age females is often incidental due to either absent or nonspecific symptoms, while tubal ectopic gestation is common and there are many factors attributable to its rising global incidence. Both schistosomiasis and ectopic gestation are strongly associated with infertility. Thus, the occurrence of schistosomiasis and second trimester tubal pregnancy in the same location in a multiparous female is a novelty.


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