Bladder schistosomiasis: case report and bibliographic review

To report a new case of bladder schistosomiasis.

A 21-year-old patient came to our consultation with gross hematuria several weeks before, existing reddish lesions in the cystoscopy that suggested the existence of an atypical bladder tumor.

After intense blood and urine test, ultrasonography and intravenous urography, transurethral resection of bladder was performed and the diagnosis on histological examination was bladder schistosomiasis.

Given the high prevalence of schistosomiasis in the sub-Saharan countries and later clinical epidemiologic implications, the appearance of macro or microscopic hematuria in black race immigrants, or even any urinary symptoms, it is necessary a complete evaluation, at least with a parasitological analysis (being the bilharziasis the most probably reason). The patients who have suffered severe urinary schistosomiasis must complete long-term follow-up to prevent bladder carcinoma.