Gallbladder schistosomiasis

Area of Science:

• Parasitology
• Hepatology
• Gastroenterology

Background:

• Schistosomiasis is a neglected tropical disease caused by Schistosoma flatworms.
• While hepatosplenic involvement is common, gallbladder schistosomiasis is exceptionally rare.
• This case addresses a unique presentation of Schistosoma mansoni infection.

Observation:

• A patient from an endemic area presented with gallbladder wall thickening and a solid lesion.
• Laparoscopic cholecystectomy was performed uneventfully.
• Histopathological analysis revealed Schistosoma mansoni eggs and a granulomatous response.

Findings:

• The gallbladder lesion was definitively diagnosed as schistosomiasis.
• Microscopic examination is crucial to differentiate from malignancy.
• Praziquantel treatment and follow-up were initiated.

Implications:

• This case underscores the importance of considering schistosomiasis in differential diagnoses for gallbladder lesions in endemic areas.
• Early diagnosis and treatment are essential to prevent complications.
• Further case reporting is needed to better characterize gallbladder schistosomiasis management.