Sejeeni Nevein F, Alfhmi Sumaiah, Aljahdali Salma, Alzahrani Shroq, Jaha Rahaf
General Pediatric, Maternity and Children Hospital, Makkah, SAU.
Pediatric Medicine, Maternity and Children Hospital, Makkah, SAU.
Cureus. 2023 Dec 1;15(12):e49789. doi: 10.7759/cureus.49789. eCollection 2023 Dec.
Acute acalculous cholecystitis (AAC) is an inflammatory disease of the gallbladder in the absence of gallstones. AAC has been linked to various systemic illnesses including Kawasaki disease (KD). We report a case of a five-year-old male brought to the emergency department (ED) with a history of fever and vomiting for four days. He was admitted as a case of KD. Then, we discovered that he had AAC, which was well managed by intravenous immunoglobulin (IVIG) as the fever subsided, C-reactive protein (CRP) decreased, and repeated abdominal ultrasound showed a decrease in gallbladder thickness without any evidence of coronary artery aneurysms.
急性非结石性胆囊炎(AAC)是一种在无胆结石情况下发生的胆囊炎症性疾病。AAC与包括川崎病(KD)在内的多种全身性疾病有关。我们报告一例5岁男性患儿,因发热和呕吐4天被送至急诊科(ED)。他因KD入院。随后,我们发现他患有AAC,通过静脉注射免疫球蛋白(IVIG)进行了妥善治疗,随着发热消退、C反应蛋白(CRP)下降,反复腹部超声检查显示胆囊厚度减小,且无任何冠状动脉瘤的迹象。