Extraluminal granulomatous manifestation, a rare presentation of mixed intestinal schistosomiasis

Schistosomiasis is endemic in sub-Saharan Africa.The commonest intestinal pathology is an intestinal polyp.We report an atypical presentation of mixed Schistosoma haematobium and Schistosoma mansoni infestation.A 51-year-old male presented with a strangulated right inguinoscrotal hernia and had laparotomy.The findings at laparotomy were extensive granulomatous lesions on the serosa of the bowel and omentum.A biopsy for histopathology reported as a mixed Schistosoma haematobium and Schistosoma mansoni infestation.