Majrashi Shaker A, Al Amoodi Ohoud M
Department of General Surgery, East Jeddah Hospital, Ministry of Health, Jeddah, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2018 Jul;39(7):725-728. doi: 10.15537/smj.2018.7.22018.
Schistosomal cholecystitis is remarkably uncommon disease which is associated with concomitant gallstone disease. The disease prevails with low socio-economic conditions of population. It is still not clear that the widespread fibrocalcific reaction in the wall of gallbladder and the cystic duct, observed for all the reports, predisposes to cholelithiasis or gallstones coexist. In the present study, we report a case of the Saudi male patient affected with schistosomal granulomatous lithiasic cholecystitis. The patient's gallbladder was badly inflamed therefore performing a safe cholecystectomy in the patient was extremely difficult. Also, infection with schistosoma is related with chronic granulomatous inflammation making the cholecystectomy procedure difficult and risky, therefore, we mainly focused on preventing the injury of bile duct by being prepared that the patient will present a complicated case. This was achieved by using the technique of laparoscopy to safely excise the gall bladder.
血吸虫性胆囊炎是一种极为罕见的疾病，与胆囊结石病并存。这种疾病在人群社会经济条件较低的情况下较为普遍。目前尚不清楚，所有报告中观察到的胆囊壁和胆囊管广泛的纤维钙化反应是易患胆石症还是胆结石并存。在本研究中，我们报告了一例沙特男性患者患有血吸虫性肉芽肿性结石性胆囊炎。患者的胆囊严重发炎，因此对该患者进行安全的胆囊切除术极其困难。此外，血吸虫感染与慢性肉芽肿性炎症有关，使得胆囊切除术困难且有风险，因此，我们主要专注于通过做好患者会出现复杂病例的准备来预防胆管损伤。这是通过使用腹腔镜技术安全切除胆囊来实现的。
