Acute acalculous cholecystitis in systemic lupus erythematosus: a rare initial manifestation.
Acute acalculous cholecystitis is a very rare gastrointestinal manifestation in systemic lupus erythematosus and becomes rarer as an initial manifestation. There are only two cases reported. The authors report a 20-year-old black woman that presented acute acalculous cholecystitis revealed by abdominal computed tomography. During hospitalization, she was diagnosed systemic lupus erythematosus. Conservative treatment with antibiotics was performed with complete remission of the symptoms. Corticosteroid was started in ambulatory. Cholecystectomy has been the treatment of choice in acute acalculous cholecystitis as a complication of systemic lupus erythematosus. The patient responded well to conservative treatment, and surgery was not required. This case is unique in the way that corticosteroid was started in ambulatory care. We should not forget that the acute acalculous cholecystitis can be the initial presentation of systemic lupus erythematosus although its occurrence is very rare. Conservative treatment should be considered. Abdominal computed tomography was a determinant exam for better assessment of acute acalculous cholecystitis.
Education Office, Post-Graduation and Research, Clínica Girassol, Luanda, Angola. Electronic address: valdanympub@gmail.com.
Valdano
V
Manuel
Department of Internal Medicine, Clínica Girassol, Luanda, Angola.
Gertrudes Maria
GM
Pedro
Education Office, Post-Graduation and Research, Clínica Girassol, Luanda, Angola.
Lemuel Bornelli
LB
Cordeiro
Education Office, Post-Graduation and Research, Clínica Girassol, Luanda, Angola.
Sandra Maria da Rocha Neto
SM
de Miranda
D042101:Acalculous Cholecystitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000072700:Conservative Treatment; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis*; D016896:Treatment Outcome; D055815:Young Adult
D000305:Adrenal Cortex Hormones
Abdominal computed tomography; Acute acalculous cholecystitis; Colecistite aguda acalculosa; Initial manifestation; Lúpus eritematoso sistêmico; Manifestação inicial; Systemic lupus erythematosus; Tomografia computadorizada do abdome