Bilharzioma of the fallopian tube - A case report

Abstract

Schistosomiasis, also known as bilharzia is an infection caused by trematode flatworms of any species of the genus Schistosoma. At least 261 million people in 74 countries are infected, and of these, 90% are in Sub-Saharan Africa.¹ In Zimbabwe, the prevalence is 38,2% for S. haematobium and 8,3% for S. Mansoni.² A “bilharzioma” is a localised mass of fibrous and inflammatory tissue, which  contains numerous eggs frequently involving the serosa and mesentery.^3-4 Schistosomiasis caused by Schistosoma haematobium generally is asymptomatic, and if symptomatic, presents with terminal haematuria and rarely with other symptoms.⁵ Even in endemic areas, very rarely, will Schistosomiasis result in formation of a “bilharzioma”.³ The most commonly reported site is the intravesical part of the ureter resulting in stricture formation, but rarely bilharziomas are found in other sites including the female genital tract. Here we report a case of a “Bilharzioma” masquerading as a malignant tumour with seedlings in the fallopian tube.