2025-11-272025-11-27http://hdl.handle.net/2263/106157Clinical history : A 21 year old male with a massive hematemesis.The patient had a similar attack 9 months ago.Autopsy findings : 1. Pipestem fibrosis of liver due to bilharziasis.2. Fibro-congestive splenomegaly.3. Bilharzial polyp in colon.Diagnosis: Bilharzial fibrosis of liver