Genital schistosomiasis presenting as suspected ectopic pregnancy in the Western Cape.

To the Editor: A 35-year-old woman was referred to Tygerberg Hospital with vaginal bleeding and lower abdominal pain. She had moved to the Western Cape 6 months previously from Gauteng. She had a 6-week history of amenorrhoea and had been bleeding for about 5 days. She had had a heavy bleed the night before admission and thought that she had passed products of conception. The referring practitioner mentioned that he had recently treated her for haemorrhagic cystitis.