Journal article
Prolonged Postprandial Abdominal Pain Following Kawasaki Syndrome with Acute Gallbladder Hydrops: Association with Impaired Gallbladder Emptying
Journal of pediatric gastroenterology and nutrition, Vol.13(3), pp.307-311
10/1991
DOI: 10.1097/00005176-199110000-00013
PMID: 1791510
Abstract
SummaryAcute hydrops of the gallbladder is a well-recognized complication of Kawasaki syndrome. We report a case of a child with this syndrome whose gallbladder hydrops slowly resolved after intravenous γ-globulin therapy. However, he continued to experience postprandial right upper quadrant abdominal pain. Hepatobiliary scintigraphy revealed normal filling of the gallbladder but marked impairment of meal-stimulated gallbladder emptying. Endoscopy with biopsy of the esophagus, stomach, and duodenum was normal, ruling out peptic complications of his aspirin therapy. This childʼs discomfort improved slowly over several months, finally ending approximately 6 months after the onset of his illness. A repeat gallbladder emptying study done ultrasonographically at that time revealed near-normal meal-stimulated gallbladder emptying. We conclude that poor emptying of the gallbladder may be associated with prolonged abdominal pain in Kawasaki syndrome. Meal-stimulated gallbladder emptying can be assessed by a simple ultrasonographic technique and should be considered in any patient with Kawasaki syndrome and abdominal pain.
Details
- Title: Subtitle
- Prolonged Postprandial Abdominal Pain Following Kawasaki Syndrome with Acute Gallbladder Hydrops: Association with Impaired Gallbladder Emptying
- Creators
- Warren Bishop - Departments of Pediatrics and Radiology, College of Medicine, University of Iowa, Iowa City, Iowa, U.S.ASimon Kao
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric gastroenterology and nutrition, Vol.13(3), pp.307-311
- Publisher
- Lippincott-Raven Publishers
- DOI
- 10.1097/00005176-199110000-00013
- PMID
- 1791510
- ISSN
- 0277-2116
- eISSN
- 1536-4801
- Language
- English
- Date published
- 10/1991
- Academic Unit
- Radiology; Stead Family Department of Pediatrics
- Record Identifier
- 9984051553002771
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