A Case of Idiopathic Eosinophilic Cholecystitis Treated with Steroids / 대한내과학회지
Korean Journal of Medicine
;
: 342-346, 2012.
Article
Dans Coréen
| WPRIM
| ID: wpr-165634
ABSTRACT
Eosinophilic cholecystitis is a rare disease characterized by transmural leukocyte infiltration composed of more than 90% eosinophils. Eosinophilic cholecystitis is clinically indistinguishable from ordinary cholecystitis, and as a rule it leads to cholecystectomy. We report a case of idiopathic eosinophilic cholecystitis treated with steroids. A 75-year-old woman presented with a classic history of acute cholecystitis and a peripheral eosinophilia of 41.8%. There was no evidence of allergy or parasitic infestation. An abdominal ultrasonography and computed tomography (CT) scan showed an edematous, thickened gallbladder wall, but no gallstones. There was no evidence of eosinophilic infiltration in other organs. Cholecystectomy was not performed because the patient refused surgical management. However, fever, abdominal pain, and peripheral eosinophilia persisted despite antibiotic and conservative therapy. Therefore, we attempted treatment with prednisolone. A week later, the symptoms disappeared and the peripheral eosinophilia normalized.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Stéroïdes
/
Prednisolone
/
Cholécystectomie
/
Calculs biliaires
/
Douleur abdominale
/
Cholécystite
/
Maladies rares
/
Cholécystite aigüe
/
Éosinophilie
/
Granulocytes éosinophiles
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Medicine
Année:
2012
Type:
Article
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