• Zehra Kazmi, Muhammad Areeb Ashfaq, Daniya Umer, Romana Idrees, and Muhammad Hammad Ather.
• Department of Surgery and Pathology, The Aga Khan University Hospital, Karachi, Pakistan.
• J Coll Physicians Surg Pak. 2020 Aug 1; 30 (8): 874-876.

AbstractSchistosomiasis 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. Key Words: Schistosomiasis, Schistosoma hematobium, Haematuria, Urinary bladder.

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