title: Cholecystoparesis with diabetic autonomic neuropathy.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Shin-Koryo Hospital, Susaki.
authors.forename: H
authors.initials: H
authors.lastname: Itoh
authors.forename: T
authors.initials: T
authors.lastname: Matsumoto
authors.forename: N
authors.initials: N
authors.lastname: Tanimoto
authors.forename: M
authors.initials: M
authors.lastname: Yokoyama
authors.forename: A
authors.initials: A
authors.lastname: Kurohara
authors.forename: Y
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Y
authors.initials: Y
authors.lastname: Inui
authors.forename: S
authors.initials: S
authors.lastname: Kitagawa
authors.forename: K
authors.initials: K
authors.lastname: Takamatsu
authors.forename: K
authors.initials: K
authors.lastname: Hashimoto
mesh_terms: 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