Thanks Ryan - would be great to have a portfile. tried:

CPPFLAGS=-I/opt/local/include LDFLAGS=-L/opt/local/lib ./configure --with-kde-support=no --prefix=/opt/local --without-arts --disable-docs --with-qt-dir=/opt/local/bin --with-qt-includes=/opt/local/include/qt3 --with-qt-libraries=/opt/local/lib/qt3 --with-extra-includes=/opt/local/include --with-extra-libs=/opt/local/lib

Which worked. Followed by:

CPPFLAGS=-I/opt/local/include LDFLAGS=-L/opt/local/lib make
 
Which seemed to work (I'm not going to make install as I have the binary compiled with Fink and I'm developing with it). The output of configure and make are here:

http://rafb.net/p/sv3gQJ26.html

I have qt3 ad not qt3-mac installed:

The following ports are currently installed:
  apr @1.2.7_0 (active)
  apr-util @1.2.7_0 (active)
  aspell @0.60.4_1
  aspell @0.60.5_0+macosx (active)
  audiofile @0.2.6_0 (active)
  autoconf @2.59_0
  autoconf @2.61_0
  autoconf @2.61_1 (active)
  automake @1.10_0 (active)
  automake @1.9.6_0
  autotrace @0.31.1_1 (active)
  bzip2 @1.0.3_0
  bzip2 @1.0.4_1 (active)
  clearsilver @0.10.4_1 (active)
  coreutils @6.9_0 (active)
  cyrus-sasl2 @2.1.21_0 (active)
  db4 @4.3.29_0+darwin_8 (active)
  db44 @4.4.20_1+darwin_8 (active)
  esound @0.2.36_0 (active)
  expat @2.0.0_1
  expat @2.0.1_0 (active)
  ffmpeg @0.4.9-pre1_2 (active)
  flex @2.5.33_0 (active)
  fontconfig @2.3.2_2+macosx
  fontconfig @2.4.2_0+macosx (active)
  freetype @2.1.10_1
  freetype @2.3.5_0 (active)
  gettext @0.14.6_0
  gettext @ 0.16.1_0 (active)
  glib1 @1.2.10_5 (active)
  glib2 @2.12.2_0
  glib2 @2.14.0_0 (active)
  gmp @4.2.1_4+darwin_i386+test (active)
  gnupg @1.4.5_0
  gnupg @1.4.7_0 (active)
  gpgme @1.1.2_1
  gpgme @ 1.1.4_0 (active)
  gtk1 @1.2.10_6 (active)
  help2man @1.36.4_0+darwin_8 (active)
  hicolor-icon-theme @0.10_0 (active)
  hicolor-icon-theme @0.5_0
  ImageMagick @6.3.3-1_0+darwin_8 (active)
  jasper @1.701.0_0 (active)
  jpeg @6b_1
  jpeg @6b_2 (active)
  kde @3.5.1_0
  kde @3.5.7_0 (active)
  kdeaccessibility3 @3.5.1_1
  kdeaccessibility3 @3.5.7_0 (active)
  kdebase3 @3.5.1_3
  kdebase3 @3.5.7_0 (active)
  kdelibs3 @3.5.1_3+darwin_8
  kdelibs3 @3.5.7_0+darwin_8 (active)
  kdenetwork3 @3.5.1_2
  kdenetwork3 @3.5.7_0 (active)
  kdepim3 @3.5.1_4
  kdepim3 @3.5.7_0 (active)
  kdeutils3 @3.5.1_1
  kdeutils3 @ 3.5.7_0 (active)
  libart_lgpl @2.3.17_0
  libart_lgpl @2.3.19_1 (active)
  libgpg-error @1.3_0
  libgpg-error @1.5_0 (active)
  libiconv @1.10_1+darwin_8
  libiconv @1.11_4+darwin_8 (active)
  libidn @ 0.6.11_0+darwin_8 (active)
  libidn @0.6.3_0+darwin_8
  libmad @0.15.1b_1 (active)
  libmikmod @3.2.0-beta2_0 (active)
  libogg @1.1.3_0 (active)
  libpng @1.2.10_2+darwin_8
  libpng @1.2.18_0+darwin_8 (active)
  libtool @1.5.22_0
  libtool @1.5.24_0 (active)
  libusb @0.1.12_0 (active)
  libvorbis @1.1.2_0 (active)
  libxml2 @2.6.23_0
  libxml2 @2.6.28_1 (active)
  libxslt @1.1.15_0
  libxslt @1.1.20_0 (active)
  lua @5.0.2_1
  lua @5.1.2_0 (active)
  m4 @1.4.9_0 (active)
  ncurses @5.6_0+darwin_8 (active)
  ncursesw @5.6_0+darwin_8 (active)
  neon @0.25.5_0 (active)
  openexr @1.4.0_0 (active)
  openslp @ 1.0.11_0 (active)
  openssl @0.9.8b_0+darwin_8
  openssl @0.9.8e_0+darwin_8 (active)
  opensync @0.22_0 (active)
  p5-locale-gettext @1.05_0 (active)
  pcre @6.6_0
  pcre @7.2_0+utf8 (active)
  perl5.8 @5.8.8_0+darwin_8 (active)
  pkgconfig @0.21_0
  pkgconfig @0.22_0 (active)
  potrace @1.7_0 (active)
  pth @2.0.6_0 (active)
  py25-bsddb @2.5.1_0 (active)
  py25-hashlib @2.5.1_0 (active)
  py25-sqlite3 @ 2.5.1_0 (active)
  python24 @2.4.4_1+darwin_8 (active)
  python25 @2.5.1_1+darwin_8 (active)
  qt3 @3.3.6_1+darwin_8
  qt3 @3.3.8_1+darwin_8 (active)
  readline @5.2.001_0 (active)
  render @0.9_0 (active)
  sqlite3 @3.4.0_0+darwin_8
  sqlite3 @3.4.2_0+darwin_8 (active)
  subversion @1.3.2_0 (active)
  subversion-pythonbindings @1.4.4_0 (active)
  swig @1.3.31_0+darwin_8 (active)
  tiff @3.8.2_0+darwin_8 (active)
  trac @0.10.4_1 (active)
  unrar @3.6.5_0 (active)
  unsermake @0.4-20060316_0 (active)
  wdiff @0.5_0 (active)
  XFree86 @4.5.0_2
  Xft2 @2.1.7_0 (active)
  xmms @1.2.10_2 (active)
  xrender @0.9.0_0+darwin_8 (active)
  zlib @1.2.3_0
  zlib @1.2.3_1 (active)