A 3½-year-old boy was brought to the medical center because of a six-day history of nausea, vomiting, and fever; five days of abdominal pain and sore throat; and a rash for one day. Physical examination disclosed an oral temperature of 39.1 °C, conjunctival injection, cracked lip skin, a "strawberry" tongue, inflamed tonsils, cervical adenopathy, abdominal tenderness, and a diffuse erythematous maculopapular rash. A supine abdominal roentgenogram was obtained (Fig 1). Abdominal sonograms from the same day (Fig 2) and five days later (Fig 3) are shown.
Denouement and Discussion
Hydrops of the Gallbladder Secondary to Kawasaki Disease
Acute acalculous hydrops of the gallbladder is a known complication of scarlet fever, familial Mediterranean fever, polyarteritis nodosa, leptospirosis,1 and Kawasaki disease.1-4 Magilavy et al1 reported two cases of gallbladder hydrops associated with Kawasaki disease or mucocutaneous lymph node syndrome (MLNS) in 1978. Morens et al2 found seven patients (four
Haden MA, Alford BA, Young LW. Radiological Case of the Month. Am J Dis Child. 1984;138(10):985-986. doi:10.1001/archpedi.1984.02140480087027