A Case of Acute Acalculous Cholecystitis Superimposed on the Nephrotic Syndrome
Journal of the Korean Society of Pediatric Nephrology
; : 91-95, 2003.
Article
in Ko
| WPRIM
| ID: wpr-115881
Responsible library:
WPRO
ABSTRACT
The nephrotic syndrome is characterized by generalized edema, hypoproteinemia(40 mg/m2/hr), and hypercholesterolemia(>200 mg/dL). It is reported that hypoalbuminemia, which is one of the four diagnostic criteria of the nephrotic syndrome, is associated with gallbladder wall thickening. An explanation for the thickened wall in hypoalbuminemic states is the accumulation of fluid in the subserosal layer of the gallbladder wall which contains the most areolar tissue. This report describes a patient who was initially diagnosed with the nephrotic syndrome at the age of 4 and subsequently developed acute acalculous cholecystitis at the age of 5.8 with an albumin level of 1.3 g/dL. The patient responded to fluid therapy, nasogastric suction, and broad spectrum antibiotics.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Suction
/
Hypoalbuminemia
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Acalculous Cholecystitis
/
Edema
/
Fluid Therapy
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Gallbladder
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Anti-Bacterial Agents
/
Nephrotic Syndrome
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Society of Pediatric Nephrology
Year:
2003
Type:
Article