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英文誌(2004-)

Journal of Medical Ultrasonics

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1994 - Vol.21

Vol.21 No.11

Case Report(症例報告)

(0757 - 0761)

胆嚢内出血を示唆され,超音波検査により血餅退縮の経過を観察したSchönlein-Henoch紫斑病の1例

A Case of Schönlein-Henoch Purpura Complicated with Intracholecystic Hemorrhage and Follow-up Observation of Clot Reduction Using Ultrasonography

岡 英孝1, 林 正博2, 長谷川 武志2

Hidetaka OKA1, Masahiro HAYASHI2, Takeshi HASEGAWA2

1関東労災病院健康管理センター, 2関東労災病院内科

1Health Care center, Kanto Rosai Hospital, 2Department of Internal Medicine, Kanto Rosai Hospital

キーワード : 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.