Gall bladder schistosomiasis diagnosed incidentally post laparoscopic cholecystectomy: A case report

• Published in: International journal of surgery case reports 2023-09, Vol.110, p.108787, Article 108787
• Main Authors: Kyejo, Willbroad, Panjwani, Sajida, Ismail, Allyzain, Mathew, Blessing, Ngimba, Caroline, Mwanga, Ally
• Format: Article
• Language: English
• Subjects: Case Report; Gallbladder schistosomiasis; Neglected tropical disease; Rare entity
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108787

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 schistosomiasis, upon histopathology evaluation, in a patient who underwent laparoscopic cholecystectomy for symptomatic gallstone disease with recurrent attacks of cholecystitis. We present the case of a 42-year-old female patient who presented to the emergency department 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. •Rarity of gall bladder schistosomiasis•Importance of suspicion for parasitic causes of recurrent cholecystitis•Significance of routine histopathological analysis of specimen•Role of praziquantel in extraintestinal schistosomiasis manifestations