Abstract
Background: Schistosomiasis is a widespread parasitic disease that affects various organs, including the female genital tract. Female genital schistosomiasis can lead to significant reproductive morbidity, such as ectopic pregnancies and infertility. Case Presentation: A 27-year-old woman with a history of recurrent spontaneous abortions presented with acute abdominal pain. She was diagnosed with a ruptured left ectopic pregnancy. Histopathologic examination of the resected tissue revealed numerous Schistosoma haematobium eggs within the ovarian parenchyma and fallopian tube, surrounded by granulomatous inflammation. The patient was treated with praziquantel and informed about the possible effects of schistosomiasis on her reproductive health. Conclusion: This case emphasizes the importance of considering female genital schistosomiasis in women from endemic areas with ectopic pregnancies and recurrent pregnancy loss. Early diagnosis and treatment are essential to prevent long-term reproductive sequelae.