Rhoton A J, Gilliam J H, Geisinger K R
Department of Gastroenterology, Bowman Gray School of Medicine, Winston-Salem, NC.
South Med J. 1993 Sep;86(9):1049-51. doi: 10.1097/00007611-199309000-00015.
Symptoms of acute cholecystitis developed in a 22-year-old woman with active SLE. Abdominal ultrasonography and biliary patency scan showed evidence of acalculous cholecystitis and common bile duct obstruction, respectively. Operation revealed acalculous cholecystitis and hemobilia; a liver biopsy specimen also showed hemobilia. Surgery relieved the patient's symptoms. This case demonstrates a new complication of SLE.
一名患有活动性系统性红斑狼疮(SLE)的22岁女性出现了急性胆囊炎的症状。腹部超声检查和胆管通畅扫描分别显示了无结石性胆囊炎和胆总管梗阻的证据。手术发现为无结石性胆囊炎和胆道出血;肝脏活检标本也显示有胆道出血。手术缓解了患者的症状。该病例证明了SLE的一种新并发症。