Ovarian Schistosomiasis: a Case Report of Incidental Ovarian Cystadenoma with Focus of Schistosomiasis Culminating in Infertility

The co-existence of ovarian tumor with schistosomiasis is a rare occurrence that has been documented in a few literatures. It is however unclear whether the presence of the schistosomiasis and/or its eggs in the ovary is causal in relation to the occurrence of ovarian tumors. Also, the association between female genital schistosomiasis (FGS) and infertility has been noted. We present a 27-year-old Para 0 + 1 with ovarian schistosomiasis as an incidental finding from a histology report of ovarian cystadenoma following a laparotomy for a right ovarian cyst accident. She also had left salpingotomy done on account of left tubal hydrosalphinx. Hysterosalpingogram done after the surgery revealed bilateral tubal blockage. She was treated with pranziquantel and counseled for assisted reproductive technology. This case report reiterates the role of granulomatous infections like female genital schistosomiasis in the prevalent tubal factor infertility in the tropics.