A Case of Hemocholecystitis in a Patient with Microscopic Polyangiitis / 대한내과학회지
Korean Journal of Medicine
;
: 127-131, 2012.
Article
in Korean
| WPRIM
| ID: wpr-227528
ABSTRACT
Microscopic polyangiitis (MPA) is a systemic necrotizing vasculitis, primarily associated with rapidly progressive glomerulonephritis and alveolar hemorrhage. Approximately 50% of MPA cases are associated with gastrointestinal involvement, but rarely do cases involve the gall bladder. We report an unusual case of MPA complicated by hemocholecystitis. A 62-year-old woman was admitted to our hospital with rapidly progressive renal dysfunction and pneumonia unresponsive to antibiotics. A chest CT scan showed bilateral diffuse alveolar consolidation, and perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA) staining was positive. During the course of hospitalization, the patient complained of severe abdominal pain, and an abdominal CT scan revealed acalculous cholecystitis with hemorrhage. Cholecystectomy was performed, and a gall bladder biopsy revealed fibrinoid necrosis of small arteries without granuloma. Cholecystitis should be considered in patients with unexplained upper abdominal pain and MPA.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Arteries
/
Thorax
/
Vasculitis
/
Biopsy
/
Urinary Bladder
/
Cholecystectomy
/
Abdominal Pain
/
Cholecystitis
/
Antibodies, Antineutrophil Cytoplasmic
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2012
Type:
Article
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