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Infectious Diseases in Obstetrics and Gynecology
Volume 2, Issue 5, Pages 235-238
Gynecological Case Report

Schistosomiasis as a Cause of Chronic Lower Abdominal Pain

1Department of Genito-Urinary Medicine, Singleton Hospital, Wales, Swansea SA2 8QA, United Kingdom
2Department of Genito-Urinary Medicine, King's College Hospital, London, United Kingdom

Received 5 August 1994; Accepted 27 December 1994

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background: Chronic intestinal schistosomiasis is rare in the United Kingdom. The symptoms are nonspecific and may mimic several other gastrointestinal conditions. We present a case of chronic intestinal schistosomiasis in a West Indian woman presenting to a genitourinary clinic.

Case: The patient presented with chronic lower abdominal pain and dysuria. A sexually transmitted disease (STD) screen was negative and midstream urine cultures were sterile. A rectal biopsy revealed a non-necrotizing granulomatous reaction around the ova of Schistosoma. Her symptoms resolved with anti-schistosomiasis therapy.

Conclusion: This case illustrates that physicians should be aware of chronic schistosomiasis in the differential diagnosis of chronic lower abdominal pain in women who have come from or visited areas where schistosomiasis is endemic.