[A case of hemorrhagic cholecystitis associated with Churg-Strauss syndrome].
Nihon Shokakibyo Gakkai Zasshi
; 113(2): 273-80, 2016.
Article
em Ja
| MEDLINE
| ID: mdl-26853987
ABSTRACT
A woman in her 70s with Churg-Strauss syndrome presented with epigastric pain. She was being treated with steroids at the time of admission. Computed tomography showed swelling of the gallbladder, and percutaneous transhepatic cholangiography revealed bloody secretion. On duodenoscopy, bleeding was observed from the orifice of the major duodenal papilla. Emergency cholecystectomy was performed under a diagnosis of hemorrhagic cholecystitis;intraoperatively, extensive hematoma was detected in the thickened wall of the gallbladder. Subsequent histopathological examination revealed mucosal ulceration with infiltration of inflammatory cells, torn small vessels, and extensive transmural bleeding and abscess formation in the thickened wall of the gallbladder. We considered that the hemorrhagic cholecystitis was induced by either vasculitis or corticosteroid therapy. To the best of our knowledge, this is the first report of hemorrhagic cholecystitis associated with Churg-Strauss syndrome.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Churg-Strauss
/
Colecistite
/
Hemorragia
Tipo de estudo:
Risk_factors_studies
Limite:
Aged
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Female
/
Humans
Idioma:
Ja
Ano de publicação:
2016
Tipo de documento:
Article