Cholecystoparesis with diabetic autonomic neuropathy.
A 69-year-old male diabetic patient was hospitalized with pneumonia in February 1996. Abdominal ultrasonography performed as a routine examination on admission revealed marked dilatation of gallbladder with a fasting maximal size of 25.7 cm2 compared with 8.8 +/- 2.9 cm2 evaluated in 30 male healthy controls aged 67 +/- 8 years old. Four months after recovery from pneumonia, abnormal gallbladder dilatation remained unchanged (25.0 cm2), while dilatation had not been observed on an examination performed 6 years earlier (9.8 cm2). Because of accompanying neurological defects, we suppose that cholecystoparesis may be caused by progression of autonomic neuropathy in this patient with diabetes mellitus.
Itoh
H
H
Department of Internal Medicine, Shin-Koryo Hospital, Susaki.
Matsumoto
T
T
Tanimoto
N
N
Yokoyama
M
M
Kurohara
A
A
Ikeda
Y
Y
Inui
Y
Y
Kitagawa
S
S
Takamatsu
K
K
Hashimoto
K
K
D000368:Aged; D001342:Autonomic Nervous System Diseases / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications*; D004108:Dilatation, Pathologic / Q000150:complications; D005500:Follow-Up Studies; D005704:Gallbladder / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D005705:Gallbladder Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D010243:Paralysis / Q000150:complications*; D014463:Ultrasonography