Acute acalculous cholecystitis in systemic lupus erythematosus: a rare initial manifestation

• Autor(a) principal: Manuel,Valdano
• Data de Publicação: 2016
• Outros Autores: Pedro,Gertrudes Maria, Cordeiro,Lemuel Bornelli, Miranda,Sandra Maria da Rocha Neto de
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista Brasileira de Reumatologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042016000200181
• topic: Systemic lupus erythematosus; Acute acalculous cholecystitis; Abdominal computed tomography; Abdominal computed tomographyInitial

ABSTRACT 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.