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[Parasitic gallbladder infection].

A Antonsen1, P L Nielsen

  • 1Patologiafdelingen, H:S Hvidovre Hospital, DK-2650 Hvidovre.

Ugeskrift for Laeger
|January 29, 2002
PubMed
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Gallbladder surgery revealed inflammation and fibrosis due to liver fluke parasite eggs. These infections stem from consuming raw or undercooked freshwater fish, highlighting a foodborne parasitic risk.

Area of Science:

  • Gastroenterology
  • Parasitology
  • Pathology

Background:

  • Cholecystectomy is a common surgical procedure for gall bladder calculi (gallstones).
  • Liver fluke infections are a known parasitic disease in humans.
  • Consumption of raw or undercooked fish is a primary transmission route for certain parasites.

Observation:

  • Two cases undergoing cholecystectomy for gallstones presented with unusual histological findings.
  • The gall bladder walls exhibited significant inflammation and fibrosis.
  • Numerous calcified parasite eggs were identified within the gall bladder wall tissue.

Findings:

  • Histological examination confirmed the presence of calcified parasite eggs consistent with liver fluke species.
  • The findings suggest a link between gall bladder calculi and parasitic infection.

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  • The parasite eggs were identified in the gall bladder wall, not solely within gallstones.

    • Implications:

    • This highlights a potential, albeit uncommon, association between liver fluke infection and gall bladder disease.
    • Awareness of parasitic infections from consuming raw or undercooked fish is crucial for public health.
    • Further research may explore the role of parasites in the pathogenesis of gall bladder calculi.