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Gallbladder bilharziasis
1Department of Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Summary
This case report details the first documented instance of gallbladder Bilharziasis (schistosomiasis) in Saudi Arabia. The study highlights the importance of considering parasitic infections in gallbladder disease diagnosis.
Area of Science:
- Hepatobiliary diseases
- Parasitology
- Gastroenterology
Background:
- Bilharziasis, a parasitic disease caused by Schistosoma worms, commonly affects the urinary tract and intestines.
- Gallbladder involvement in schistosomiasis is rare, with limited documented cases globally.
- Accurate diagnosis and understanding of parasitic infections in the hepatobiliary system are crucial for effective treatment.
Observation:
- A 30-year-old male presented with symptoms suggestive of Bilharziasis.
- Ultrasound revealed gallstones, leading to laparoscopic cholecystectomy.
- Microscopic examination of the gallbladder tissue confirmed a heavy Bilharziasis infection.
Findings:
- This represents the first reported case of gallbladder schistosomiasis in Saudi Arabia.
- The study reviews global literature on gallbladder schistosomiasis since 1966.
- Pathological findings underscore the potential for ectopic parasitic manifestation.
Implications:
- Highlights the need to consider Bilharziasis in differential diagnoses for gallbladder pathology, especially in endemic or returning traveler populations.
- Emphasizes the importance of diagnostic imaging and histopathology in identifying rare parasitic infections.
- Contributes to the understanding of the geographical distribution and clinical presentation of schistosomiasis.