Snail fever of the bladder in a non-endemic area

Romana Idrees, Zehra Kazmi, Muhammad Areeb Ashfaq, Daniya Umer, Muhammad Hammad Ather

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1 Citation (Scopus)


Schistosomiasis is rarely seen in Pakistan and is generally not very high on the list of differential diagnoses. However, it is an important cause of haematuria in certain endemic areas. It can affect multiple organs including the bladder, liver and lungs. We present a case of a young Pakistani male, travelling to and from Africa, who presented with complains of haematuria and suprapubic discomfort. Final pathologic diagnosis was urinary schistosomiasis (hematobium species). This case is particularly notable for the characteristic sago nodules identified on cystoscopy. It is important to consider schistosomiasis in the differential of haematuria in such scenarios as it confers significant morbidity if left untreated.

Original languageEnglish
Pages (from-to)874-876
Number of pages3
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number8
Publication statusPublished - 1 Aug 2020


  • Haematuria
  • Schistosoma hematobium
  • Schistosomiasis
  • Urinary bladder


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