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Bilateral tubal gestation associated with schistosomiasis in an african woman.

Odubamowo KH, Akinpelu OM, Lawal OO, Okolo CA, Odukogbe AA, Adekunle AO - Case Rep Obstet Gynecol (2014)

Bottom Line: 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.Conclusion.Schistosoma induced salpingitis is a rare but possible cause of bilateral tubal gestation.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, University College Hospital, Ibadan 20004, Oyo State, Nigeria.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Ruptured right fallopian tube.
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fig2: Ruptured right fallopian tube.

Mentions: This was a case of bilateral tubal pregnancy with rupture of the right tube (Figure 2) which resulted in haemoperitoneum; the left tube (Figure 3) was bulbous with fatty appearance due to granulomatous reaction induced by the infestation. Granulomas can be seen in Figure 4 (long arrows), while S. haematobium ova with their characteristic terminal spines can be seen in Figure 5 (short arrows).


Bilateral tubal gestation associated with schistosomiasis in an african woman.

Odubamowo KH, Akinpelu OM, Lawal OO, Okolo CA, Odukogbe AA, Adekunle AO - Case Rep Obstet Gynecol (2014)

Ruptured right fallopian tube.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279826&req=5

fig2: Ruptured right fallopian tube.
Mentions: This was a case of bilateral tubal pregnancy with rupture of the right tube (Figure 2) which resulted in haemoperitoneum; the left tube (Figure 3) was bulbous with fatty appearance due to granulomatous reaction induced by the infestation. Granulomas can be seen in Figure 4 (long arrows), while S. haematobium ova with their characteristic terminal spines can be seen in Figure 5 (short arrows).

Bottom Line: 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.Conclusion.Schistosoma induced salpingitis is a rare but possible cause of bilateral tubal gestation.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, University College Hospital, Ibadan 20004, Oyo State, Nigeria.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus