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Case Report
 
Granulomatous Cholecystitis in a patient with schistosoma mansoni infection: A case report
Konstantinos Manes1, Kleantis Chatzimargaritis2, Dimitra Apessou3, Vasileios Papastergiou4, Christos Dervenis5
1Consultant General Surgeon, Surgical Department, "Konstantopouleio" General Hospital, Athens, Greece.
2Resident in General Surgery, Surgical Department, "Konstantopouleio" General Hospital, Athens, Greece.
3Director, Pathology Department, "Konstantopouleio" General Hospital, Athens, Greece.
4Resident, Gastroenterology Department, "Konstantopouleio" General Hospital, Athens, Greece.
5Head of Surgical Department, "Konstantopouleio" General Hospital, Athens, Greece.

doi:10.5348/ijcri-201484-CR-10395

Address correspondence to:
Konstantinos Manes
Surgical Department
"Konstantopouleio" (Agia Olga) General Hospital, 14233
Athens
Greece
Phone: +30 213 2057539
Fax: +30 2132057541
Email: dinos_manes@yahoo.com

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How to cite this article
Manes K, Chatzimargaritis K, Apessou D, Papastergiou V, Dervenis C. Granulomatous cholecystitis in a patient with schistosoma mansoni infection: A case report. International Journal of Case Reports and Images 2014;5(6):439–443.


Abstract
Introduction: Schistosomal cholecystitis is remarkably uncommon. Almost all of the reported cases in literature, less than eleven universally, are associated with concomitant gallstone disease. It is unclear whether the extensive fibrocalcific reaction of the bladder`s wall and the cystic duct, seen in all cases, predisposes to cholelithiasis, or gallstones coexist.
Case Report: We report a Greek patient who developed schistosomal granulomatous lithiasic cholecystitis, which is unique in Greek medical chronicles. Performing a safe cholecystectomy in this patient was extremely difficult due to badly inflamed gallbladder.
Conclusion: Schistosoma infection is associated with chronic granulomatous inflammation making cholecystectomy difficult and unsafe. In this article, we focus especially on prevention of bile duct injury by being prepared that a patient with a possible schistosomal cholecystitis will present with a complicated case.

Keywords: Cholecystitis, Schistosomal cholecystitis, Schistosomiasis, Parasites


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Author Contributions
Konstantinos Manes – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Kleantis Chatzimargaritis – Acquisition of data, Drafting the article, Final approval of the version to be published
Dimitra Apessou – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Vasileios Papastergiou – Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Christos Dervenis – Conception and design, Critical revision of the article, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Konstantinos Manes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.