Kawasaki Hastalığının Ender Bir Bulgusu: Safra Kesesi Hidropsu ve Literatürün Gözden Geçirilmesi

Abstract

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.

Keywords

• Kawasaki hastalığı
• safra kesesi
• hidrops

A Rare Presentation of Kawasaki Disease: Gall Bladder Hydrops and Review of the Literature

Abstract

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.

Keywords

• Kawasaki disease
• Hydrops
• Gallbladder

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