Liebmann L I, Mikelic V, Joh M M, Wilson F M
JAMA. 1982 Feb 12;247(6):827-9.
An acute, febrile, self-limited disease process occurred in an otherwise healthy young adult that satisfies accepted criteria for the diagnosis of Kawasaki disease. Unusual features of this case include the patient's age and the documentation of notable, acute noncalculous distention of the gallbladder, a recognized complication of the condition. Evidence of cystic-duct obstruction during the acute phase of distention and subsequent establishment of patency during the convalescent stage is provided with the use of serial ultrasonographic and radioisotopic studies. Discussion of the possible mechanisms for acute hydrops of the gallbladder in Kawasaki disease is included and the need to consider this diagnosis in young adults with the appropriate clinical manifestations is underscored.
一名原本健康的年轻成年人发生了一种急性、发热性、自限性疾病过程，符合川崎病的诊断标准。该病例的不寻常特征包括患者的年龄以及胆囊显著急性非结石性扩张的记录，这是该疾病一种公认的并发症。通过系列超声和放射性同位素研究，提供了扩张急性期胆囊管梗阻及恢复期通畅的确切证据。文中讨论了川崎病中胆囊急性积水的可能机制，并强调了在有相应临床表现的年轻成年人中考虑这一诊断的必要性。
