Pediatric Nephrology

, Volume 21, Issue 6, pp 873–876

Acute acalculous cholecystitis in a child with systemic lupus erythematosus

  • Mitra Basiratnia
  • Mohammad Vasei
  • Ali Bahador
  • Esmaeel Ebrahimi
  • Ali Derakhshan
Brief Report

Abstract

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.

Keywords

Systemic lupus erythematosus Vasculitis Acalculous cholecystitis 

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Copyright information

© IPNA 2006

Authors and Affiliations

  • Mitra Basiratnia
    • 1
  • Mohammad Vasei
    • 2
  • Ali Bahador
    • 3
  • Esmaeel Ebrahimi
    • 2
  • Ali Derakhshan
    • 1
  1. 1.Department of Pediatric Nephrology, Nemazee HospitalShiraz Medical SchoolShirazIran
  2. 2.Department of Pathology and Institute of Cancer ResearchShiraz Medical SchoolShirazIran
  3. 3.Department of Pediatric surgery, Nemazee hospitalShiraz Medical SchoolShirazIran

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