Recurrent ectopic pregnancy due to Schistosoma hematobium

Laxman, Vaishnavy Vilvanathan; Adamson, B; Mahmood, T. A.

doi:10.1080/01443610802164896

Cited by 16 publications

(17 citation statements)

References 3 publications

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“…The most common specie is Schistosoma (S.) haematobium which infests the urinary bladder with resultant hematuria. S. haematobium resides in the pelvic and vesical plexus while Schistosoma mansoni is found in the portal venous system, which makes lesions caused by them to be common in the bladder and the rectum, respectively [ 6 , 7 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Histopathologic examination of surgical specimens has shown that S. haematobium ova can be found in all female genital organs but most commonly the cervix and vagina but rarely tubal specimens [ 12 , 16 – 18 ]. The incidence of tubal pregnancy is about 60% with tubal schistosomiasis compared to 33% in patients without it [ 7 ]. The pathophysiologic mechanism is said to be due to granulomatous reaction leading to mechanical obstruction or tubal fibrosis caused by ischemia of the tubes after occlusion of the blood vessels by the eggs of the parasite [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of tubal pregnancy is about 60% with tubal schistosomiasis compared to 33% in patients without it [ 7 ]. The pathophysiologic mechanism is said to be due to granulomatous reaction leading to mechanical obstruction or tubal fibrosis caused by ischemia of the tubes after occlusion of the blood vessels by the eggs of the parasite [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is common in patients that underwent in vitro fertilization for assisted conception [ 2 , 3 ] and it has also been reported in a woman using oral contraception [ 4 ]. There has been no reported case of bilateral tubal gestation following schistosomiasis, although a few cases of unilateral tubal gestation have been reported [ 5 – 7 ]. The pathophysiologic mechanism implicated in this is mechanical obstruction of the tubes by the schistosome ova lodged in the peritubal vasculature with associated fibrosis and distortion of the tubes [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman

Odubamowo

Akinpelu

Lawal

et al. 2014

Case Reports in Obstetrics and Gynecology

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Background. The incidence of tubal ectopic gestation caused by schistosomiasis induced tubal pathology is undocumented in this environment, which may be due to rarity of this pathology. Bilateral tubal gestation is common in patients that have undergone in vitro fertilization. We report a hitherto undocumented case of spontaneous bilateral ectopic gestation following tubal schistosomiasis. Case Report. Mrs. OB was a 32-year-old G4P3+0 (3 alive) woman who complained of abdominal pain and bleeding per vaginam of 4 and 2 days' duration respectively following 8 weeks of amenorrhea. A clinical impression of ruptured ectopic gestation was confirmed by ultrasound scanning. She had bilateral salpingectomy with histology of specimens showing bilateral ectopic gestation with Schistosoma haematobium induced salpingitis (findings of Schistosoma haematobium ova noted on slide). Conclusion. Schistosoma induced salpingitis is a rare but possible cause of bilateral tubal gestation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman

Odubamowo

Akinpelu

Lawal

et al. 2014

Case Reports in Obstetrics and Gynecology

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“…Tubo-ovarian adhesions, like in our case, also increases the risk of ectopic pregnancy 16,17 . Although adhesions were also found in our patient's liver and bowel 18 , pathophysiologically important hepatic fibrosis or obstructive enteropathy is not associated 19 .…”

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confidence: 97%

Schistosomiasis of the abdominal cavity and infertility: a case report

Katsetos¹,

Kontoyannis²,

Koumousidis³

et al. 2013

OA Case Reports

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IntroductionWe report a case of a 35-year-old woman, who was referred to our Gynaecology Clinic and had been suffering from subfertility the previous three years. The aim of this report is to present diagnostic pathway, treatment and outcome of a rare case involving schistosomiasis infection, as a non-common cause of infertility. Case report A thorough investigation followed, including recent and past medical as well as social and family history, systematic review, clinical and gynaecological examination, blood and urine tests, cultures, Mantoux test, dye test, cervical smear, chest X-ray, colposcopy, hysteroscopy and, finally, laparoscopy. Schistosomiasis was proven and treatment with Praziquantel started. In the follow-up period, hysterosalpingogram and then laparoscopic adhesiolysis and salpingostomy were arranged to continue the management of her primary infertility. Also cystoscopic evaluation took place and the patient commenced Clomiphene 100 mg. Conclusion Although we were afraid for this woman having at least right-sided tubal disease, her best option for future fertility would be in vitro fertilisation; at 10 months following surgery, she conceived and gave birth to a healthy 3.1 kg male infant with normal delivery at full term.

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Diagnosis and management of complicated urogenital schistosomiasis: a systematic review of the literature

et al. 2023

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Background Currently, there are no standardized guidelines for the diagnosis or management of the complications of urogenital schistosomiasis (UGS). This systematic review of the literature aims to investigate the state of the art in reference to diagnostic approaches and the clinical management of this condition. Methods A systematic review of literature published between January 1990 and January 2021 was conducted in the MEDLINE database, scoping for articles regarding diagnostic means or therapeutic options for the complications of UGS, namely obstructive uropathy, bladder cancer, abortion, ectopic pregnancy, infertility, kidney failure, urolithiasis and the need for invasive procedures. Relevant data were then extracted from the articles deemed eligible according to the inclusion criteria. Main results In total, 3052 articles were identified by the research query, of which 167 articles fulfilling inclusion criteria after title/abstract screening and full-text evaluation were included, 35% on both diagnostic and therapeutic aspects, and 51% on diagnosis and 14% on therapy. Ultrasound was the most frequently tool employed for the diagnosis of UGS complications showing a good performance. Concerning the management of hydronephrosis, the majority of available evidences came from community-based studies where universal treatment with praziquantel was used leading to decrease of prevalence of obstructive uropathy. Concerning studies on surgical procedures, laser endoureterotomy followed by stenting was mostly employed in adult patients leading to a crude cure rate of 60% (43 of 71 patients). In the case of severe hydronephrosis, surgery consisting of ureteral re-implantation showed excellent results with a crude cure rate of 98% (157 cured patients of 160 treated). Concerning bladder cancer, data on 93 patients with a clear diagnosis of UGS-related bladder were available reporting a variable and sometime combined approach based on disease stage. Available data on diagnosis and management of abortion, ectopic pregnancy, infertility, kidney failure, urolithiasis and the need for invasive procedures due to UGS are also presented. Conclusions The review produced a complete picture of the diagnostic and therapeutic options currently available for complicated UGS. These results can be useful both for guiding clinicians towards correct management and for tracing the direction of future research.

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Recurrent ectopic pregnancy due to Schistosoma hematobium

Cited by 16 publications

References 3 publications

Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman

Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman

Schistosomiasis of the abdominal cavity and infertility: a case report

Diagnosis and management of complicated urogenital schistosomiasis: a systematic review of the literature

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