Öz
Kawasaki hastalığı, tedavi edilmemiş olgularda ciddi koroner arter komplikasyonu gelişen, akut, ateşli bir vaskülittir. Akut safra kesesi hidropsu, Kawasaki hastalığı’nın karaciğer, batın tutulumunun minör göstergesi olabilir. Bu olgu sunumunda, kolik tarzında sağ üst kadran ağrısı, ateş, sarılık ile gelen, abdominal ultrasonografisinde taşsız hidropik safra kesesi saptanarak yapılan tetkikler ve fiziksel bakı sonrası Kawasaki hastalığı tanısı konulan, altı yaşında bir erkek hasta sunuldu. Çocuklarda etiyolojisi saptanamayan safra kesesi hidropsuna karın ağrısı ve ateşin eşlik ettiği olgularda, diğer tanı kriterleri saptanmasa da Kawasaki hastalığı ayırıcı tanıda akılda tutulmalıdır.
Anahtar Kelimeler
Kaynakça
- 1. Can Başaklar Bebek ve Çocukların cerrahi ve ürolojik hastalıkları Palme Yayıncılık Ankara 2006, p. 957.
- 2. Kanra G, Cengiz AB, Kara A, Seçmeler G, Ceyhan M. Kawasaki Hastalığı: Dokuz vakanın takdimi. Çocuk Sağlığı ve Hastalıkları Dergisi 1999; 42: 469-78.
- 3. Rowley AH. Finding the cause of Kawasaki disease: a pediatric infectious diseases research priority J Infect Dis 2006; 194:1635-7.
- 4. Colomba C, La Placa S, Saporito L, Corsello G, Ciccia F, Medaglia A, ve ark. Intestinal Involvement in Kawasaki Disease. J Pediatr 2018; 202:186-93.
- 5. Miyake T, Kawamori J, Yoshida T, Nakano H, Kohno S, Ohba S. Small bowel pseudo-obstruction in Kawasaki disease. Pediatr Radiol 1987;17:383-6.
- 6. Erdur CB, Katipoğlu N, Genel F, Özbek E, Özdemir R, Meşe T, ve ark. An infant presenting with acute gastroenteritis and intestinal edema and diagnosed as Kawasaki disease: Case report. Behcet Uz Cocuk Hast Derg 2014; 4:148-52.
- 7. Sun Q, Zhang J, Yang Y. Gallbladder hydrops associated with Kawasaki disease: a case report and literature review Clin Pediatr (Phila) 2017;57:341-3.
- 8. McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, M Gewitz, ve ark. Diagnosis, treatment, and long-term management of Kawasaki Disease: a scientific statement for health professionals from the American Heart Association. Circulation 2017;135:927-99.
- 9. Frederick J Suchy, Amy G. Feldman Nelson Textbook of Pediatrics, 2-Volume Set 21st Edition Robert Kliegman Joseph St. Geme. Phedelphia 2020;393:8455-56.
- 10. Goldsmith RW, Gribetz D, Strauss L. Mucocutaneous lymph node syndrome in the continental United States. Pediatrics 1976; 57: 431-4.
- 11. Col D, Bicer S, Giray T, Erdag G.C, Saltık L, Vitrinel A. Gallbladder Hydrops in an Infant with Kawasaki Disease Case Report. Yeditepe Medical Journal 2011; 5: 473-7.
- 12. Bloom RA, Swain VA. Noncalculous distention of the gallbladder in childhood. Arch Dis Child 1966;41:503–7.
- 13. Becker CG, Dubin T, Glenn F. Induction of acute cholecystitis by activation of factor XII. J Exp Med 1980;151:81–90.
- 14. Slovis T L, Hight D W, Philippart A I, Dubois R S. Sonography in the Diagnosis and Management of Hydrops of the Gallbladder in Children With Mucocutaneous Lymph Node Syndrome. Pediatrics 1980;65:789-94.
- 15. Sun Q, Zhang J, Yang Y. Gallbladder Hydrops Associated With Kawasaki Disease: A Case Report and Literature Review. Clin Pediatr (Phila) 2018; 57:341-3.
Öz
Kawasaki disease is an acute febrile vasculitis of childhood in which untreated cases develop severe coronary artery complications. Acute gallbladder hydrops and liver abdominal involvement occur occasionally as minor manifestation of Kawasaki disease. Herein, Kawasaki disease presenting with hydrops of the gallbladder without calculi was reported in a 6-year-old boy. With further examination and laboratory pointed out Kawasaki disease in the patient. Kawasaki disease should be considered in differential diagnosis in children with gallbladder hydrops, abdominal pain and fever of unknown etiology, even if all the diagnostic criteria have not appeared.
Anahtar Kelimeler
Kaynakça
- 1. Can Başaklar Bebek ve Çocukların cerrahi ve ürolojik hastalıkları Palme Yayıncılık Ankara 2006, p. 957.
- 2. Kanra G, Cengiz AB, Kara A, Seçmeler G, Ceyhan M. Kawasaki Hastalığı: Dokuz vakanın takdimi. Çocuk Sağlığı ve Hastalıkları Dergisi 1999; 42: 469-78.
- 3. Rowley AH. Finding the cause of Kawasaki disease: a pediatric infectious diseases research priority J Infect Dis 2006; 194:1635-7.
- 4. Colomba C, La Placa S, Saporito L, Corsello G, Ciccia F, Medaglia A, ve ark. Intestinal Involvement in Kawasaki Disease. J Pediatr 2018; 202:186-93.
- 5. Miyake T, Kawamori J, Yoshida T, Nakano H, Kohno S, Ohba S. Small bowel pseudo-obstruction in Kawasaki disease. Pediatr Radiol 1987;17:383-6.
- 6. Erdur CB, Katipoğlu N, Genel F, Özbek E, Özdemir R, Meşe T, ve ark. An infant presenting with acute gastroenteritis and intestinal edema and diagnosed as Kawasaki disease: Case report. Behcet Uz Cocuk Hast Derg 2014; 4:148-52.
- 7. Sun Q, Zhang J, Yang Y. Gallbladder hydrops associated with Kawasaki disease: a case report and literature review Clin Pediatr (Phila) 2017;57:341-3.
- 8. McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, M Gewitz, ve ark. Diagnosis, treatment, and long-term management of Kawasaki Disease: a scientific statement for health professionals from the American Heart Association. Circulation 2017;135:927-99.
- 9. Frederick J Suchy, Amy G. Feldman Nelson Textbook of Pediatrics, 2-Volume Set 21st Edition Robert Kliegman Joseph St. Geme. Phedelphia 2020;393:8455-56.
- 10. Goldsmith RW, Gribetz D, Strauss L. Mucocutaneous lymph node syndrome in the continental United States. Pediatrics 1976; 57: 431-4.
- 11. Col D, Bicer S, Giray T, Erdag G.C, Saltık L, Vitrinel A. Gallbladder Hydrops in an Infant with Kawasaki Disease Case Report. Yeditepe Medical Journal 2011; 5: 473-7.
- 12. Bloom RA, Swain VA. Noncalculous distention of the gallbladder in childhood. Arch Dis Child 1966;41:503–7.
- 13. Becker CG, Dubin T, Glenn F. Induction of acute cholecystitis by activation of factor XII. J Exp Med 1980;151:81–90.
- 14. Slovis T L, Hight D W, Philippart A I, Dubois R S. Sonography in the Diagnosis and Management of Hydrops of the Gallbladder in Children With Mucocutaneous Lymph Node Syndrome. Pediatrics 1980;65:789-94.
- 15. Sun Q, Zhang J, Yang Y. Gallbladder Hydrops Associated With Kawasaki Disease: A Case Report and Literature Review. Clin Pediatr (Phila) 2018; 57:341-3.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Cerrahi |
| Bölüm | CASE REPORTS |
| Yazarlar | |
| Yayımlanma Tarihi | 7 Temmuz 2022 |
| Gönderilme Tarihi | 24 Ekim 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 16 Sayı: 4 |