A case of eosinophilic cholecystitis with hepatitis associated with clonorchiasis.
- Author:
Eun Sil KIM
1
;
Sung Tae RYU
;
Moon Hee LEE
;
Hyung Soo WI
;
In Ho KIM
;
Seung Ik AHN
;
Chul Soo KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Inha University, Inchon, Korea. moonhlmd@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Eosinophilia;
Cholecystitis;
Clonorchis sinensis
- MeSH:
Adult;
Alanine Transaminase;
Alkaline Phosphatase;
Aspartate Aminotransferases;
Cholecystectomy;
Cholecystitis*;
Cholecystitis, Acute;
Cholelithiasis;
Clonorchiasis*;
Clonorchis sinensis;
Eosinophilia;
Eosinophils*;
Female;
Gallbladder;
Hepatitis*;
Humans;
Liver;
Praziquantel;
Serologic Tests;
Skin Tests;
Tomography, X-Ray Computed
- From:Korean Journal of Medicine
2003;65(Suppl 3):S912-S916
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic cholecystitis is a rare condition of cholecystitis which was first described by the Albot in 1949. We describe a case of eosinophilic cholecystitis associated with Clonorchis sinensis. A 42-year-old woman presented with a classic history of acute cholecystitis and a peripheral eosinophilia of 56% without an allergic history. An abdominal CT scan showed thickened, edematous gallbladder wall but no cholelithiasis, and an cholecystectomy was performed. Pathological examination revealed diffuse infiltration of eosinophils throughout all gallbladder wall layers and marked eosinophilic infiltration of the liver. Skin test for clonorchis sinensis was strong positive and serologic test for Clonorchis sinensis antibody was high titer. The serum alkaline phosphatase, SGOT, SGPT and eosinophil count normalized within a week after praziquantel medication.
