Journal of

Case Reports and Images in Obstetrics and Gynecology

 
     
Case Report
 
Case report of tubo-ovarian Bilharziasis presented with pelvic pain and secondary infertility
Tonleu Linda Bentefouet1,2, Marietou Thiam1,3, Abdoul Magib Gaye4, Amine El Wardi4, Lamine Gueye3, Mamadou Lamine Cisse11,3
1MD, Training and research unit (UFR) in Health sciences
2MD, Laboratory of Pathological Anatomy and Cytology of Regional Hospital Thiès, Senegal)
3MD, Department of Obstetrics and Gynecology, Regional Hospital Thiès, Senegal
4MD, Laboratory of Pathological Anatomy and Cytology of Aristide Le Dantec Hospital, Dakar, Senegal

Article ID: 100025Z08TB2017
doi:10.5348/Z08-2017-25-CR-5

Address correspondence to:
Dr. Mariétou Thiam
MD, Assistant professor, Department of Obstetrics and Gynecology
Regional Hospital
Thiès/ Senegal
BP 34 A Thiès

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How to cite this article:
Bentefouet TL, Thiam M, Gaye AM, El Wardi A, Gueye L, Cisse ML. Case report of tubo-ovarian Bilharziasis presented with pelvic pain and secondary infertility. J Case Rep Images Gynecol Obstet 2017;3:19–22.


ABSTRACT
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.

Keywords: Infertility, Serum biomarkers, Urogenital bilharziasis

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Acknowledgements
We are thankful to Pr Mouhamadou Lamine Cisse for his contributions and proof reading, and Dr Adamson Phiri for the English translation of the document.

Author Contributions
Tonleu Linda Bentefouet – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marietou Thiam – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Abdoul Magib Gaye – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amine El Wardi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Lamine Gueye – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mamadou Lamine Cisse – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Tonleu Linda Bentefouet et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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