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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4th International Conference on
A case of tubal schistosomiasis presenting as a ruptured ectopic gestation
Dineth Adrienne C Gutierrez
Mary Johnston Hospital, Philippines
Schistosomiasis is a tropical disease caused by parasitic
flatworms of the genus Schistosoma that enter the
human body through the skin. The different species of these
schistosomes have predilections for specific organs in the
body, and signs and symptoms depend on which areas are
affected. Cases of Schistosomiasis of the female reproductive
tract are rare but have been seen in areas of the world where
Schistosoma haematobium, in particular, is endemic. When
Schistosomiasis involves the fallopian tubes, it produces
fibrotic scars and tubal occlusion, leading to infertility and
ectopic pregnancy. A thorough literature search has revealed
no reported local case of tubal Schistosomiasis to date.
Furthermore, the only Schistosoma species that has been
found in the Philippines is Schistosoma japonicum, while
the species most often isolated in tubal Schistosomiasis, in
contrast, is Schistosoma haematobium. A case of a 32-year-
old primigravid from Northern Samar, with amenorrhea of
8 weeks and 5 days, who presented with vaginal spotting
and hypogastric pain is hereby reported. She underwent
salpingostomy for ectopic pregnancy and was later, upon
histopathological examination, found to have tubal infection
by Schistosoma, which was treated with Praziquantel. This
case is note-worthy because of the following reasons: a)
no local case reports on tubal Schistosomiasis are currently
available based on literature search; b) Schistosoma
haematobium, the major species implicated in Schistosoma
infection of the fallopian tube, is not found in the Philippines;
and c) the finding of Schistosomiasis concomitant with a tubal
pregnancy in a previously asymptomatic patient is quite rare.
This case report highlights tubal Schistosomiasis, despite its
rarity in the Philippines, as a significant risk factor for ectopic
pregnancy. Knowledge on this disease and a high index of
suspicion is important in managing affected patients.
Speaker Biography
Dineth Adrienne C Gutierrez is a resident trainee in Obstetrics and
Gynecology at Mary Johnston Hospital in Manila, Philippines. She obtained
herundergraduatedegree inBachelorofScience inPsychologyatDeLaSalle
University-Manila and her Doctor of Medicine degree from Pamantasan ng
Lungsod ng Maynila College of Medicine.
e:
Dineth Adrienne C Gutierrez, Res Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-008