1Health Care center, Kanto Rosai Hospital, 2Department of Internal Medicine, Kanto Rosai Hospital
Schönlein-Henoch purpura, Intracholecystic hemorrhage, Magnetic resonance imaging(MRI), Ultrasonography
A 17-year-old patient with Schönlein-Henoch purpura complicated with intracholecystic hemorrhaging
was admitted to this institution with abdominal pain. Our first diagnosis was Schönlein-Henoch purpura
complicated with pyelonephritis and gastritis, because the typical signs and symptoms were present.
About one month later, the patient complained of severe abdominal pain. Ultrasonographic examination
showed that the gallbladder was filled with hyperechoic sludge-like substance. A second diagnosis of
bleeding gallbladder was based on MRI findings. Medication with steroids relieved the patient's discomfort
, and ultrasonography showed the disappearance of the hemorrhagic clots.