Bilharzial infection of a uterine leiomyoma.

Schistosoma haematobium is endemic in Iraq, constituting an important health problem in this country [1,2]. Boulanger in 1919 reported the geographical distribution of schistosomiasis in Mesopotamia [2]. More recent reports suggest that the reported incidence of schistosomiasis in the Iraqi adult population is 4.9% [3], and the incidence in autopsy materials in the Medical City Teaching Hospital in Baghdad is 4.4% [4]. Although S. haematobium usually affects the urinary system, involvement of the genital organs is not unusual in endemic zones, occurring via the vascular anastomosis between the bladder and the genital organs [5]. Aberrant nidation, spontaneous abortion and permanent sterility were the most reported complications of the genital schistosomiasis. It is also responsible for functional sequelae including pelvic ache and menstrual problems [6]. Other bilharzial species have also been blamed for genital organ diseases in the areas where they are endemic, producing comparable symptoms [7,8]. We report a case of bilharzial infection of a uterine leiomyoma with other genital organs unaffected. Case report