Gangrenous Cholecystitis Due to Taenia saginata Infection: A Rare Gall Bladder Perforation Complication

Vidhya N¹, Durga Devi G², Shenbaga Lalitha S³ and Swetha N B⁴

This study showed a rare complication of Taenia saginata infection, emphasizing the need for awareness and prompt intervention in similar cases.

Abstract

Background: Taenia saginata, the beef tapeworm, is a global intestinal parasite commonly acquired through the ingestion of undercooked beef. Although primarily causing gastrointestinal symptoms, severe complications such as biliary tract infections have been documented. A rare manifestation is gangrenous cholecystitis leading to gall bladder perforation. Methods: We present a case of a 28-year-old male from North India with symptoms of acute abdomen, including upper abdominal pain, fever, and jaundice. Diagnostic imaging revealed free fluid in Morrison's pouch, prompting emergency surgery. During the operation, an adult T. saginata was found in the gall bladder, leading to cholecystostomy and postoperative management. Results: Surgical intervention identified gangrenous cholecystitis with gall bladder perforation and an adult T. saginata. Postoperative treatment included praziquantel and follow-up parasitological controls, which were negative for T. saginata eggs. The patient’s recovery was uneventful with an interval cholecystectomy performed later. Conclusion: This case underscores the rare but severe complication of T. saginata infection causing biliary tract issues, emphasizing the need for heightened awareness and consideration of taeniasis in differential diagnoses of acute abdominal conditions. Effective management involves precise diagnostics, surgical intervention, and appropriate parasitological treatment.

Keywords: Taenia saginata, Gall Bladder Perforation, Gangrenous Cholecystitis, Biliary Tract Infection, Beef Tapeworm

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