October 1984

Radiological Case of the Month

Author Affiliations

Contributed from the Department of Radiology, University of Virginia Medical Center, Charlottesville.

Am J Dis Child. 1984;138(10):985-986. doi:10.1001/archpedi.1984.02140480087027

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

First Page Preview View Large
First page PDF preview
First page PDF preview