Gall bladder schistosomiasis diagnosed incidentally post laparoscopic cholecystectomy: A case report
General Surgery (East Africa)
Introduction and importance:
Schistosomiasis is a neglected tropical disease caused by parasitic worms of the genus Schistosoma. It primarily affects the intestines, liver, and urinary tract however, rare cases have been reported where the parasite invades other organs. This case report presents an incidental finding of schistoso- miasis, upon histopathology evaluation, in a patient who underwent laparoscopic cholecystectomy for symp- tomatic gallstone disease with recurrent attacks of cholecystitis.
We present the case of a 42-year-old female patient who presented to the emergency depart- ment with symptoms and signs suggestive of acute cholecystitis. She underwent conservative management with interval laparoscopic cholecystectomy with histopathology findings of Schistosoma eggs within the walls of the gallbladder. Underwent eradication therapy with praziquantel.
The finding of Schistosoma eggs in the gallbladder wall during routine histopathological examination highlights the importance of considering schistosomiasis, and other parasites, in cases of recurrent bouts of cholecystitis. The case challenges the conventional understanding of the transmission patterns of this parasitic infection and raises questions about potential atypical life cycle routes within the human body. It also emphasizes the importance of routine histopathology analysis of specimen removed from the body.
This case report presents a rare occurrence of schistosomiasis cholecystitis in a 42-year-old female patient underscoring the importance of considering parasitic infections. Thorough histopathological examination in routine surgeries is crucial for early detection and targeted treatment. The patient's positive response to praziquantel therapy highlights its effectiveness in managing schistosomiasis, which is a neglected tropical disease
Publication (Name of Journal)
International Journal of Surgery Case Reports
(2023). Gall bladder schistosomiasis diagnosed incidentally post laparoscopic cholecystectomy: A case report. International Journal of Surgery Case Reports, 110(2023), 1-4.
Available at: https://ecommons.aku.edu/eastafrica_fhs_mc_gen_surg/89
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