Acute acalculous cholecystitis in a child with systemic lupus erythematosus

被引：18

作者：

Basiratnia, Mitra

Vasei, Mohammad ^{[1
]}

Bahador, Ali

Ebrahimi, Esmaeel

Derakhshan, Ali

机构：

[1] Shiraz Med Sch, Dept Pathol, Shiraz 71344, Iran

[2] Shiraz Med Sch, Inst Canc Res, Shiraz 71344, Iran

[3] Nemazee Hosp, Shiraz Med Sch, Dept Pediat Nephrol, Shiraz, Iran

[4] Nemazee Hosp, Shiraz Med Sch, Dept Pediat Surg, Shiraz, Iran

来源：

PEDIATRIC NEPHROLOGY | 2006年 / 21卷 / 06期

关键词：

systemic lupus erythematosus; vasculitis; acalculous cholecystitis;

D O I：

10.1007/s00467-006-0021-x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A 10-year-old boy with systemic lupus erythematosus (SLE) developed abrupt right upper quadrant pain and vomiting during the course of his active disease. Antiphospholipid antibody was negative and the C3 level was low. Abdominal sonography showed cholecystitis with sludge balls in the gallbladder. He was treated by high-dose prednisolone with ceftriaxone and metronidazole IV for 3 days but due to poor response, cholecystectomy was performed and no stone was identified. Histopathologic examination showed vasculitis in the medium-sized arteries of the gallbladder wall. He was doing well at the 9-month follow-up after the operation. This report describes the first pediatric case of SLE with acalculous cholecystitis caused by vasculitis of the gallbladder.

引用

页码：873 / 876

页数：4

共 16 条

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