Urinary schistosomiasis: a case of late presentation

BMJ Case Rep. 2022 Mar 1;15(3):e246966. doi: 10.1136/bcr-2021-246966.


A man in his early 20s, originally from north-central Africa, presented with a high incidental serum creatinine level. A non-contrast CT scan was taken which was suggestive of urinary schistosomiasis. The diagnosis was confirmed on obtaining biopsies from the bladder. Due to bilateral hydronephrosis, an attempt at bilateral renal decompression was made. This failed to improve renal function. He eventually underwent a right nephrectomy. He is in end-stage renal failure, undergoing long-term dialysis, and has been placed on the waiting list for renal transplant.

Keywords: chronic renal failure; urinary tract infections; urological surgery.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Hydronephrosis*
  • Kidney Failure, Chronic*
  • Male
  • Nephrectomy
  • Renal Dialysis
  • Schistosomiasis haematobia* / complications
  • Schistosomiasis haematobia* / diagnosis