Rare presentation of gallbladder schistosomiasis: a case report
Schistosomiasis is a parasitic disease that is widely considered a neglected tropical disease. It is ranked first after malaria among all parasitic diseases. The major forms of schistosomiasis are intestinal and urogenital; however, gallbladder involvement is rare and usually accompanied by imaging...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231166278 |
| _version_ | 1797828639441551360 |
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| author | Yahia Mahli Mohammed S Aldamegh Moath Aljohani |
| author_facet | Yahia Mahli Mohammed S Aldamegh Moath Aljohani |
| author_sort | Yahia Mahli |
| collection | DOAJ |
| description | Schistosomiasis is a parasitic disease that is widely considered a neglected tropical disease. It is ranked first after malaria among all parasitic diseases. The major forms of schistosomiasis are intestinal and urogenital; however, gallbladder involvement is rare and usually accompanied by imaging findings similar to those of acute cholecystitis, such as wall thickening or pericholecystic inflammation. We encountered a patient who did not show these typical imaging findings. A man in his late 40s presented to the emergency department with a 2-month history of abdominal distention. His initial laboratory examination showed iron deficiency anemia. Computed tomography revealed a mildly distended gallbladder with septations and a small calcified gallstone. Magnetic resonance imaging was performed for better characterization, and it showed gallbladder stones with multiseptated, cystic gallbladder mural lesions and no wall thickening or pericholecystic fluid. On his second visit, the patient complained of mild epigastric pain. A provisional diagnosis of cholecystitis was considered, and laparoscopic cholecystectomy was performed. Histopathological evaluation revealed a gallbladder wall with multiple foci of chronic granulomatous inflammation. Schistosoma-like ova were observed in the mucosa and submucosa and were consistent with schistosomiasis. Periodic acid–Schiff staining of the ova was positive. The patient’s postoperative course was uneventful. |
| first_indexed | 2024-04-09T13:08:40Z |
| format | Article |
| id | doaj.art-01699a5fca0b49bf8f35f0b125593111 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-09T13:08:40Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-01699a5fca0b49bf8f35f0b1255931112023-05-12T10:03:31ZengSAGE PublishingJournal of International Medical Research1473-23002023-05-015110.1177/03000605231166278Rare presentation of gallbladder schistosomiasis: a case reportYahia MahliMohammed S AldameghMoath AljohaniSchistosomiasis is a parasitic disease that is widely considered a neglected tropical disease. It is ranked first after malaria among all parasitic diseases. The major forms of schistosomiasis are intestinal and urogenital; however, gallbladder involvement is rare and usually accompanied by imaging findings similar to those of acute cholecystitis, such as wall thickening or pericholecystic inflammation. We encountered a patient who did not show these typical imaging findings. A man in his late 40s presented to the emergency department with a 2-month history of abdominal distention. His initial laboratory examination showed iron deficiency anemia. Computed tomography revealed a mildly distended gallbladder with septations and a small calcified gallstone. Magnetic resonance imaging was performed for better characterization, and it showed gallbladder stones with multiseptated, cystic gallbladder mural lesions and no wall thickening or pericholecystic fluid. On his second visit, the patient complained of mild epigastric pain. A provisional diagnosis of cholecystitis was considered, and laparoscopic cholecystectomy was performed. Histopathological evaluation revealed a gallbladder wall with multiple foci of chronic granulomatous inflammation. Schistosoma-like ova were observed in the mucosa and submucosa and were consistent with schistosomiasis. Periodic acid–Schiff staining of the ova was positive. The patient’s postoperative course was uneventful.https://doi.org/10.1177/03000605231166278 |
| spellingShingle | Yahia Mahli Mohammed S Aldamegh Moath Aljohani Rare presentation of gallbladder schistosomiasis: a case report Journal of International Medical Research |
| title | Rare presentation of gallbladder schistosomiasis: a case report |
| title_full | Rare presentation of gallbladder schistosomiasis: a case report |
| title_fullStr | Rare presentation of gallbladder schistosomiasis: a case report |
| title_full_unstemmed | Rare presentation of gallbladder schistosomiasis: a case report |
| title_short | Rare presentation of gallbladder schistosomiasis: a case report |
| title_sort | rare presentation of gallbladder schistosomiasis a case report |
| url | https://doi.org/10.1177/03000605231166278 |
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