Del Angel-Millán Gabriela, Jukemura José, Bicudo Júlia Bragion, Jureidini Ricardo, Montagnini André Luís, Segatelli Vanderlei, Ribeiro Thiago Costa, Namur Guilherme Naccache, Costa Thiago Nogueira, Stolzemburg Lucas Cata Preta, Abdo Emilio Elias, Ribeiro Ulysses, Herman Paulo, Figueira Estela Regina Ramos
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.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Departamento de Patologia, São Paulo, SP, Brasil.
Autops Case Rep. 2024 Oct 8;14:e2024516. doi: 10.4322/acr.2024.516. eCollection 2024.
Schistosomiasis is an infectious disease caused by parasitic flatworms of the genus Schistosoma. The species 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 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.
血吸虫病是一种由血吸虫属寄生扁虫引起的传染病。该物种与肝脾疾病有关。仅累及胆囊的血吸虫病非常罕见，仅有少数病例报道。在此，我们报告一例来自血吸虫病流行地区的女性病例，该患者表现为胆囊无痛性实性病变和胆囊壁增厚。她接受了顺利的腹腔镜胆囊切除术。手术标本的显微镜检查发现虫卵伴有肉芽肿反应，从而诊断为胆囊血吸虫病，随后给予吡喹酮治疗并进行随访。该病例说明了在流行地区怀疑这种诊断的重要性，因为如果不进行显微镜检查，可能会误诊为恶性肿瘤。对于少数血吸虫病病例，并发症和治疗策略的特征尚不明确；报告该病例有助于提醒人们注意这种疾病的罕见表现。
