Digestion

Case Report

Gallbladder Involvement of Henoch-Schönlein Purpura Mimicking Acute Acalculous Cholecystitis

Hoffmann J.C.a · Cremer P.a · Preiss J.C.a · Ebhardt H.b · Kruschewski M.c · Buhr H.J.c · Zeitz M.a

Author affiliations

aMedizinische Klinik I mit Schwerpunkt Gastroenterologie/Infektiologie/Rheumatologie, bInstitut für Pathologie und cChirurgische Klinik und Poliklinik I, Charité, UniversitätsmedizinBerlin, Campus Benjamin Franklin, Berlin, Deutschland

Keywords: Acalculous cholecystitisHypersensitivity vasculitisGastric ulcersHenoch-Schönlein purpura

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Digestion 2004;70:45–48
https://doi.org/10.1159/000080080

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 29, 2004
Accepted: May 21, 2004
Published online: September 01, 2004
Issue release date: August 2004

Number of Print Pages: 4
Number of Figures: 3
Number of Tables: 0

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

Abstract

Background/Aims: We report the case of a 53-year-old man with fever and severe abdominal pain following an upper respiratory tract infection. Methods/Results: The clinical signs, the laboratory markers, and the ultrasound findings were consistent with acute acalculous cholecystitis and he underwent cholecystectomy. Histologically the gallbladder showed vasculitis and the patient developed postoperatively a purpuric rash of the legs with transient ankle arthritis. Gastroscopy revealed prepyloric ulcers consistent with vasculitis. The patient was diagnosed as having Henoch-Schönlein purpura. Gastric ulcers as well as arthritis disappeared upon treatment with corticosteroids and proton pump inhibitors. Conclusion: Taken together, Henoch-Schönlein purpura can mimic acute cholecystitis and should be considered as a rare differential diagnosis of acute cholecystitis.

© 2004 S. Karger AG, Basel



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References

  1. Cream JJ, Gumpel JM, Peachey RD: Schönlein-Henoch purpura in the adult: A study of 77 adults with anaphylactoid or Schönlein-Henoch purpura. QJM 1970;39:461–484.
  2. Kumon Y, Hisatake K, Chikamori M, et al: A case of vasculitic cholecystitis associated with Schönlein-Henoch purpura in an adult. Gastroenterol Jpn 1988;23:68–72.
  3. Scully RE, Galdabini JJ, McNeely BU: Case records of the Massachusetts General Hospital: Weekly clinicopathological exercises. Case 14–1980. N Engl J Med 1980;302:853–858.
  4. Shapiro MJ, Luchtefeld WB, Kurzweil S, Kaminski DL, Durham RM, Mazuski JE: Acute acalculous cholecystitis in the critically ill. Am Surg 1994;60:335–339.
  5. Kalliafas S, Ziegler DW, Flancbaum L, Choban PS: Acute acalculous cholecystitis: Incidence, risk factors, diagnosis, and outcome. Am Surg 1998;64:471–475.
    External Resources
  6. Ryu JK, Ryu KH, Kim KH: Clinical features of acute acalculous cholecystitis. J Clin Gastroenterol 2003;36:166–169.
  7. Mills JA, Michel BA, Bloch DA, et al: The American College of Rheumatology 1990 criteria for the classification of Henoch-Schönlein purpura. Arthritis Rheum 1990;33:1114–1121.
  8. LiVolsi VA, Perzin KH, Porter M: Polyarteritis nodosa of the gallbladder, presenting as acute cholecystitis. Gastroenterology 1973;65:115–123.
  9. Chao HC, Kong MS, Lin SJ: Hepatobiliary involvement of Henoch-Schönlein purpura in children. Acta Paediatr Taiwan 2000;41:63–68.
    External Resources
  10. Pery M, Alon U, Lachter JH, Kaftori JK, Gaitini D, Rosenberger A: The value of ultrasound in Schönlein-Henoch purpura. Eur J Pediatr 1990;150:92–94.
  11. Amemoto K, Nagita A, Aoki S, Azumagawa K, Hirano K, Mino M: Ultrasonographic gallbladder wall thickening in children with Henoch-Schönlein purpura. J Pediatr Gastroenterol Nutr 1994;19:126–128.
  12. de la Pena A, Yuste JR, Beloqui O, Prieto J: Acalculous cholecystitis in Schönlein-Henoch syndrome: Apropos of a case. Rev Med Univ Navarra 1995;39:126–129.
  13. Conley ME, Cooper MD, Michael AF: Selective deposition of immunoglobulin A1 in immunoglobulin A nephropathy, anaphylactoid purpura nephritis, and systemic lupus erythematosus. J Clin Invest 1980;66:1432–1436.
  14. Jennette JC, Falk RJ, Andrassy K, et al: Nomenclature of systemic vasculitides: Proposal of an international consensus conference. Arthritis Rheum 1994;37:187–192.
  15. Murali NS, George R, John GT, et al: Problems of classification of Henoch-Schönlein purpura: An Indian perspective. Clin Exp Dermatol 2002;27:260–263.

Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 29, 2004
Accepted: May 21, 2004
Published online: September 01, 2004
Issue release date: August 2004

Number of Print Pages: 4
Number of Figures: 3
Number of Tables: 0

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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2004, Vol.70, No. 1

August 2004

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