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Acute granulomatous schistosomal cholecystitis
A I Sharara1, G Abi-Saad, M Haddad
1Department of Medicine, American University of Beirut, Lebanon. as08@aub.edu.lb
European Journal of Gastroenterology & Hepatology
|August 17, 2001
Summary
Schistosomal cholecystitis, a rare gallbladder inflammation caused by parasitic worms, can occur without gallstones. This case report highlights a direct link between schistosomal infection and acute granulomatous acalculous cholecystitis.
Area of Science:
- Parasitology
- Gastroenterology
- Pathology
Background:
- Schistosomal cholecystitis is a rare condition with fewer than 10 reported cases.
- The role of schistosomal eggs in causing clinically apparent acute cholecystitis is uncertain, often confounded by gallstones.
Observation:
- A patient presented with acute, granulomatous, acalculous cholecystitis.
- This presentation occurred in the absence of gallstones.
Findings:
- The clinical course, timeline, and pathological examination strongly suggest schistosomal infection as the cause.
- Schistosomal eggs deposited in the gallbladder wall likely triggered the inflammatory response.
Implications:
- This case supports a direct association between schistosomal infection and acute cholecystitis, even without gallstones.
- Highlights the importance of considering parasitic infections in the differential diagnosis of acalculous cholecystitis.
- Contributes to understanding the pathogenesis of schistosomal-induced gallbladder inflammation.