Recurrent ectopic pregnancy due to Schistosoma hematobium.

摘要

This is a case report of a 37-year-old Para 1 + 1 who was born in Zambia, but has been living in the UK for the past 20 years. She had an uneventful pregnancy and a spontaneous vaginal delivery in 2000.In 2005, she presented with 6 weeks of amenorrhea, bleeding per vaginam and abdominal pain. A scan was done which did not reveal an intrauterine gestation. Her /?hCGs were tracked and there was a suboptimal rise indicating an ectopic pregnancy.The patient chose to have medical treatment for her ectopic pregnancy with methotrexate (100 mg); however her /?hCGs continued to rise. Hence she underwent laparoscopy. During theprocedure it was observed that the fimbrial end of the left tube was tethered by some adhesions and there was a firm nodule in the proximal end of the left tube. Gritty, sandy patches were observed on the surface of the left fallopian tube. There were also some flimsy adhesions between the right fallopian tube and ovary. A partial left salpingectomy was done. Histopathology revealed a tubal pregnancy and the abnormal area on the tube was reported to be a foreign body reaction to Schistosoma hematobium ova (Figure 1). She was then referred to the infectious disease specialist, where she received a dose of praziquantel and was discharged from our care.