A Case of Acute Acalculous Cholecystitis Superimposed on the Nephrotic Syndrome
Journal of the Korean Society of Pediatric Nephrology
;
: 91-95, 2003.
Artigo
em Coreano
| WPRIM
| ID: wpr-115881
ABSTRACT
The nephrotic syndrome is characterized by generalized edema, hypoproteinemia(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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sucção
/
Hipoalbuminemia
/
Colecistite Acalculosa
/
Edema
/
Hidratação
/
Vesícula Biliar
/
Antibacterianos
/
Síndrome Nefrótica
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Pediatric Nephrology
Ano de publicação:
2003
Tipo de documento:
Artigo
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