Gallbladder schistosomiasis

Authors

  • Gabriela Del Angel-Millán Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0001-6319-9086
  • José Jukemura Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0002-3943-7088
  • Júlia Bragion Bicudo Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0009-0008-7265-7171
  • Ricardo Jureidini Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0001-6252-6532
  • André Luís Montagnini Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0002-9575-9196
  • Vanderlei Segatelli Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Patologia, São Paulo, SP, Brasil https://orcid.org/0000-0002-5588-8508
  • Thiago Costa Ribeiro Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0002-9399-0917
  • Guilherme Naccache Namur Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0001-8102-6568
  • Thiago Nogueira Costa Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0001-5539-5263
  • Lucas Cata Preta Stolzemburg Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0009-0006-8334-4846
  • Emilio Elias Abdo Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0002-2031-2891
  • Ulysses Ribeiro Júnior Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0003-1711-7347
  • Paulo Herman Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0003-2859-5846
  • Estela Regina Ramos Figueira Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia e Nutrologia, Divisão de Cirurgia do Aparelho Digestivo, São Paulo, SP, Brasil https://orcid.org/0000-0002-7856-8670

DOI:

https://doi.org/10.4322/acr.2024.516

Keywords:

Schistosomiasis, Gallbladder Diseases, Gallbladder Neoplasms, Parasitic Diseases

Abstract

Schistosomiasis is an infectious disease caused by parasitic flatworms of the genus Schistosoma. The species Schistosoma mansoni is associated with hepatosplenic disease. Schistosomiasis involving the gallbladder alone is highly unusual, with a few cases reported. Herein, we present the case of a woman from a region with endemic schistosomiasis who presented with a painless solid lesion and wall thickening of the gallbladder. She underwent an uneventful laparoscopic cholecystectomy. Microscopic examination of the surgical specimen revealed Schistosoma mansoni eggs associated with granulomatous reaction, leading to the diagnosis of schistosomiasis of the gallbladder, prompting subsequent treatment with praziquantel and follow-up. This case illustrates the importance of suspicion for this diagnosis in endemic areas, as it can be misdiagnosed with malignancy if not examined microscopically. Complications and treatment strategies are poorly characterized for the few cases of schistosomiasis; reporting this case can serve as a helpful reminder of a rare presentation of this disease.

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Published

2024-10-08

Issue

Vol. 14 (2024)

Section

Clinical Case Report

License

Copyright (c) 2024 Gabriela Del Angel-Millán, José Jukemura, Júlia Bragion Bicudo, Ricardo Jureidini, André Luís Montagnini, Vanderlei Segatelli, Thiago Costa Ribeiro, Guilherme Naccache Namur, Thiago Nogueira Costa, Lucas Cata Preta Stolzemburg, Emilio Elias Abdo, Ulysses Ribeiro Júnior, Paulo Herman, Estela Regina Ramos Figueira

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How to Cite

Del Angel-Millán, G., Jukemura, J., Bicudo, J. B., Jureidini, R., Montagnini, A. L., Segatelli, V., Ribeiro, T. C., Namur, G. N., Costa, T. N., Stolzemburg, L. C. P., Abdo, E. E., Ribeiro Júnior, U., Herman, P., & Figueira, E. R. R. (2024). Gallbladder schistosomiasis. Autopsy and Case Reports, 14, e2024516. https://doi.org/10.4322/acr.2024.516