Ruptured ectopic pregnancy associated with tubal... : Journal of Postgraduate Medicine (original) (raw)

Case Report

Department of Obstetrics and Gynecology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India

1Department of Pathology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India

Address for correspondence: Dr. Latika Sahu, E-mail: [email protected]

Received October 14, 2012

Received in revised form December 12, 2012

Accepted February 08, 2013

Abstract

Endemic in major parts of Africa and Middle East, Schistosoma haematobium is a common cause of recurrent urogenital infections and obstetric complications such as spontaneous abortions, ectopic pregnancies, and low birth weight babies. The involvement of fallopian tubes is not rare in endemic areas and may predispose to ectopic pregnancy and infertility. Indian subcontinent is a very lowrisk region for schistosoma infection. Tubal schistosomiasis is not exceptional in endemic zones, but is rarely found in India. The species most often isolated is S. haematobium. Contamination occurs via vascular anastomoses between the bladder and the genital organs. We report a case of tubal schistosomiasis presenting as ruptured ectopic pregnancy discovered on a surgical specimen after salpingectomy.