Prominent gallbladder enlargement: Kawasaki disease or other congenital or acquired gallbladder disease? A case report

Prominent gallbladder enlargement: Kawasaki disease or other congenital or acquired gallbladder disease? A case report

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Kawasaki disease (KD) is a common systemic vasculitis in childhood that can result in damage to multiple body systems.However, prominent gallbladder (GB) enlargement in the acute stage is especially rare.A 5-year-old boy was admitted to the hospital with an 8-day history of a cervical mass, 7-day history of fever, and 5-day history of abdominal pain and rash.

The child was diagnosed with KD.After treatment with high-dose intravenous immunoglobulin therapy (2 g/kg), all clinical Course a pied - Femme - Vetements - Pantalon - Nylon manifestations were relieved except the abdominal pain.Enhanced computed tomography showed distinct enlargement of the GB, and a congenital choledochal cyst was strongly suspected.

After high-dose glucocorticoid treatment, his obviously enlarged GB returned to normal size in the subacute phase.No abnormality was found during 2 years of follow-up.Prominent GB enlargement may emerge in the acute stage of KD.

The enlarged GB Sta-Rite Dynamo Parts can return to normal size within the subacute stage by standard treatment for KD.Proper diagnosis, thorough differential diagnosis, and active anti-inflammatory treatment of KD are crucial to avoid surgery.