A Case of Acute Acalculous Cholecystitis Superimposed on the Nephrotic Syndrome.
- Author:
Youn Ho SHIN
1
;
Jee Min PARK
;
Jae Il SHIN
;
Jae Seung LEE
;
Myung Jun KIM
Author Information
1. Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea. jsyonse@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Nephrotic syndrome;
Acute acalculous cholecystitis;
Hypoalbuminemia;
Gallbladder wall thickening
- MeSH:
Acalculous Cholecystitis*;
Anti-Bacterial Agents;
Edema;
Fluid Therapy;
Gallbladder;
Humans;
Hypoalbuminemia;
Nephrotic Syndrome*;
Suction
- From:Journal of the Korean Society of Pediatric Nephrology
2003;7(1):91-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The nephrotic syndrome is characterized by generalized edema, hypoproteinemia(<2 g/dL), proteinuria(>40 mg/m2/hr), and hypercholesterolemia(>200 mg/dL). It is reported that hypoalbuminemia, which is one of the four diagnostic criteria of the nephrotic syndrome, is associated with gallbladder wall thickening. An explanation for the thickened wall in hypoalbuminemic states is the accumulation of fluid in the subserosal layer of the gallbladder wall which contains the most areolar tissue. This report describes a patient who was initially diagnosed with the nephrotic syndrome at the age of 4 and subsequently developed acute acalculous cholecystitis at the age of 5.8 with an albumin level of 1.3 g/dL. The patient responded to fluid therapy, nasogastric suction, and broad spectrum antibiotics.
