Unusual presentation of Enterobius vermicularis infestation of the uterine cervix during pregnancy

Genital tract parasitic infestations are extremely rare, particularly during pregnancy. Awareness of such cases is crucial for accurate diagnosis and management. A 22-week pregnant woman in the 20s presented with lower abdominal pain. The general examination was normal; however, speculum examination revealed worm infestation of the uterine cervix with cervical ectropion. Microscopic examination of the cervical smear identified a gravid female Enterobius vermicularis containing eggs. The patient was treated with albendazole (400 mg, repeated after 2 weeks), and household contacts received the same treatment. The patient had a full-term vaginal delivery with no maternal or neonatal complications. No recurrence of symptoms was reported postpartum. This case highlights E. vermicularis infestation of the uterine cervix as a rare cause of abdominal pain during pregnancy. Clinicians should consider parasitic infections in the differential diagnosis of cervical lesions or unexplained pain, especially in endemic regions.