Rare presentation of gallbladder schistosomiasis: a case report

被引:1
|
作者
Mahli, Yahia [1 ]
Aldamegh, Mohammed S. [2 ]
Aljohani, Moath [3 ]
机构
[1] King Fahad Med City, Abdominal Imaging Dept, Riyadh, Saudi Arabia
[2] Qassim Univ, Unaizah Coll Med & Med Sci, Dept Radiol, Unaizah, Al Qassim, Saudi Arabia
[3] Qassim Univ, Unaizah Coll Med & Med Sci, Dept Family & Community Med, Madinah Rd, Unaizah 56219, Al Qassim, Saudi Arabia
关键词
Endemic; schistosomiasis; gallbladder; case report; neglected tropical disease; cholecystectomy; HEPATOSPLENIC SCHISTOSOMIASIS; SUDANESE PATIENTS; CHOLECYSTITIS;
D O I
10.1177/03000605231166278
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
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.
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页数:7
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