Case report of tubo-ovarian Bilharziasis presented with pelv
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Introduction: We present a case of a patient with infertility in the context of tubo-ovarian schistosomiasis discovered at histology. This case supports the necessity to include schistosomiasis as a potential etiologic factor in infertility patients from the disease endemic regions.
Case Report: A 22-year-old woman presented for gynecology consultation at the department for secondary infertility and pelvic pain lasting four years. Pelvic ultrasound revealed a right ovarian cyst. Right adnexectomy was then performed with a smooth postoperative period. The macroscopic examination revealed a large sized whitish ovarian cyst. The totality of ovary and the fallopian tubes was encrusted by the bilharzia eggs more or less calcified with terminal spines typical to Schistosoma haematobium species at histology.
Conclusion: We hypothesize a link between the patient’s infertility and the presence of Schistosoma haematobium. The latter is highly associated with the presence of the metabolite catechol-estrogen/DNA adducts in patients’ serum.....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-obstetrics-and-gynecology/archive/2017-archive/100025Z08TB2017-marietou/100025Z08TB2017-marietou-full-text.php
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