title: [A case of hemorrhagic cholecystitis associated with Churg-Strauss syndrome].
abstract: A woman in her 70s with Churg-Strauss syndrome presented with epigastric pain. She was being treated with steroids at the time of admission. Computed tomography showed swelling of the gallbladder, and percutaneous transhepatic cholangiography revealed bloody secretion. On duodenoscopy, bleeding was observed from the orifice of the major duodenal papilla. Emergency cholecystectomy was performed under a diagnosis of hemorrhagic cholecystitis;intraoperatively, extensive hematoma was detected in the thickened wall of the gallbladder. Subsequent histopathological examination revealed mucosal ulceration with infiltration of inflammatory cells, torn small vessels, and extensive transmural bleeding and abscess formation in the thickened wall of the gallbladder. We considered that the hemorrhagic cholecystitis was induced by either vasculitis or corticosteroid therapy. To the best of our knowledge, this is the first report of hemorrhagic cholecystitis associated with Churg-Strauss syndrome.
authors: Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital.
authors: Satomi
authors: S
authors: Koizumi
authors: Terumi
authors: T
authors: Kamisawa
authors: Sawako
authors: S
authors: Kuruma
authors: Kazuro
authors: K
authors: Chiba
authors: Taku
authors: T
authors: Tabata
authors: Koichi
authors: K
authors: Koizumi
authors: Masanao
authors: M
authors: Kurata
authors: Shinichiro
authors: S
authors: Horiguchi
authors: Tsunekazu
authors: T
authors: Hishima
mesh_terms: D000368:Aged; D002763:Cholecystectomy; D002764:Cholecystitis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D015267:Churg-Strauss Syndrome / Q000188:drug therapy*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced* / Q000601:surgery; D006801:Humans