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Bladder schistosomiasis

Case contributed by Olumuyiwa Ifedayo Ajayi
Diagnosis possible

Presentation

Chronic hematuria. Patient from an endemic area

Patient Data

Age: 45 years
Gender: Male
ct

Non-contrast CT through the pelvis shows thickening and calcification of the urinary vesical wall predominant in the fundus and left posterolateral aspect.

Case Discussion

Diagnostic considerations for bladder wall calcifications include schistosomiasis, post-radiation therapy, post-chemotherapy, tuberculosis, urinary bladder malignancy, chronic infection/ inflammation, and drug-induced.

Schistosoma haematobium infects the genitourinary system. It is prevalent in tropical and subtropical areas, especially in poor communities without access to safe drinking water and adequate sanitation.

Hematuria is the commonest clinical presentation. 

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