Chronic haematuria. Patient from an endemic area
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Non-contrast CT through the pelvis shows thickening and calcification of the urinary vesical wall predominant in the fundus and left posterolateral aspect.
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.