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September 10, 2026Infectious Diseases of PovertyOpen Access

Unexpected uterine microhabitat of Schistosoma infection: a migrant case of female genital schistosomiasis in Europe

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Authors

ABAntonio Beltrán-RoselJLJorge Ligero-LópezLOLía Ornat-Clemente

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Overview

Case report reveals unexpected uterine female genital schistosomiasis mimicking leiomyoma in a migrant woman, highlighting histopathology's role in diagnosing reversible parasitic infertility.

Key Points

  • To describe an atypical case of female genital schistosomiasis presenting as a uterine mass and primary infertility in a non-endemic setting.
  • Clinical, diagnostic, and surgical evaluation of a 30-year-old migrant woman presenting with primary infertility and a large uterine leiomyoma.
  • Postoperative histopathological analysis of myometrial tissue alongside serial urine microscopy, serology, hysterosalpingography, and treatment with praziquantel.
  • Histopathology of the resected myometrial specimen unexpectedly demonstrated Schistosoma eggs and granulomatous inflammation despite initially negative urine microscopy and serology.
  • Subsequent post-biopsy urine microscopy confirmed Schistosoma haematobium-like eggs, and follow-up samples turned negative after targeted praziquantel treatment.

Cite This Study

Beltrán-Rosel et al. (2026) studied this question.

synapsesocial.com/papers/6aa27c3058559d80afc75e05https://doi.org/10.1186/s40249-026-01502-0
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