Abstract
Although thickening of the gallbladder wall is a relatively frequent finding on diagnostic imaging studies, the condition has never been reported in patients with acute poststreptococcal glomerulonephritis (APSGN). We describe a patient with APSGN who presented with transient thickening of the gallbladder wall. While the precise pathogenic mechanism underlying this change in our patient was unclear, elevated systemic venous pressure or subclinical vasculitis may have caused edema of the gallbladder wall.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Amemoto K, Nagita A, Aoki S, Azumagawa K, Hirano K, Mino M (1994) Ultrasonographic gallbladder wall thickening in children with Henoch-Schonlein purpura. J Pediatr Gastroenterol Nutr 19:126–128 doi:10.1097/00005176-199407000-00024
Kaplan RA, Zwick DL, Hellerstein S, Warady BA, Alon U (1993) Cerebral vasculitis in acute post-streptococcal glomerulonephritis. Pediatr Nephrol 7:194–195 doi:10.1007/BF00864396
Kikuchi Y, Yoshizawa N, Oda T, Imakiire T, Suzuki S, Miura S (2006) Streptococcal origin of a case of Henoch-Schoenlein purpura nephritis. Clin Nephrol 65:124–128
Kumon Y, Hisatake K, Chikamori M, Hara H, Numata Y, Yamano T et al (1988) A case of vasculitic cholecystitis associated with Schönlein-Henoch purpura in an adult. Gastroenterol Jpn 23:68–72 doi:10.1007/BF02918859
Shlaer WJ, Leopold GR, Scheible FW (1981) Sonography of the thickened gallbladder wall: a nonspecific finding. Am J Rentogenol 136:337–339
Sulyok E (2004) Acute proliferative glomerulonephritis. In: Avner ED, Harmon WE, Niaudit P (eds) Pediatric Nephrology, 5th edn. Lippincott Williams and Willkins, Philadelphia, pp 601–613
Talarico HP, Rubens D (1990) Gallbladder wall thickening in acute pyelonephritis. J Clin Ultrasound 18:653–657
van Breda Vriesman AC, Engelbrecht MR, Smithuis RHM, Puylaert JBCM (2007) Diffuse gallbladder wall thickening: differential diagnosis. Am J Rentogenol 188:495–501 doi:10.2214/AJR.05.1712
Wegener M, Börsch G, Schneider J, Wedmann B, Winter R, Zacharias J (1987) Gallbladder wall thickening: a frequent finding in various nonbiliary disorders—a prospective ultrasonographic study. J Clin Ultrasound 15:307–312 doi:10.1002/jcu.1870150503
Zissin R, Osadchy A, Shapiro-Feinberg M, Gayer G (2003) CT of a thickened-wall gall bladder. Br J Radiol 76:137–143 doi:10.1259/bjr/63382740
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Watanabe, T., Baba, Y. Gallbladder wall thickening in a patient with acute poststrepotcoccal glomerulonephritis. Eur J Pediatr 168, 717–719 (2009). https://doi.org/10.1007/s00431-008-0830-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-008-0830-y