Tubal schistosomiasis: A not so rare cause of ectopic gestation

Schistosomiasis, a neglected Tropical disease affects over 220 million people worldwide and is endemic in Nigeria. Reproductive difficulties are some of the consequences of chronic infestation with Schistosoma spp particularly S. haematobium. We present the case of a 20 year old nullipara who was managed for ectopic pregnancy on a background of a previous first trimester miscarriage. Intraoperatively, she was found to have bilateral tubal pathology, histology of which turned out to be schistosoma granuloma.