Acute Acalculous Cholecystitis as a Presenting Manifestation in Systemic Lupus Erythematosus

  • Sonmoon Mohapatra Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital
  • Debra R Goldstein Department of Gastroenterology and Hepatology, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital
  • Akshat Kumar Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital
  • Trisha Saha Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital
  • Damodar Penigalapati Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital

Keywords

Systemic lupus erythematosus, Acalculous cholecystitis, Gallbladder vasculitis

Abstract

Systemic lupus erythematosus (SLE) is known to involve the gastrointestinal tract, but gallbladder involvement is rare. The authors report the case of a 26-year-old postpartum female who presented with acute right upper quadrant abdominal pain and was diagnosed with acute acalculous cholecystitis (AAC). In the presence of concomitant features of nephritis, pericardial effusion, anaemia and positive ANA titre, the diagnosis of SLE was confirmed during hospitalisation. Histopathological analysis of the gall bladder revealed evidence of vasculitis. Although rare, AAC can be the first presentation of patients diagnosed with SLE. Prompt diagnosis and management results in a better patient outcome. 

References

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  • Published: 2016-06-07

    Issue: Vol 3 No 4 (view)

    Section: Articles

    How to cite:
    Mohapatra, S., Goldstein, D., Kumar, A., Saha, T., & Penigalapati, D. (2016). Acute Acalculous Cholecystitis as a Presenting Manifestation in Systemic Lupus Erythematosus. European Journal of Case Reports in Internal Medicine, 3(4). https://doi.org/https://doi.org/10.12890/2016_000408