Cholelithiasis Associated With the Hemolytic-Uremic Syndrome
Autor: | S, Schweighofer, W A, Primack, T L, Slovis, L E, Fleischmann, D W, Hight |
---|---|
Rok vydání: | 1980 |
Předmět: |
medicine.medical_specialty
Abdominal pain Adolescent Anemia medicine.medical_treatment urologic and male genital diseases Gastroenterology Cholelithiasis hemic and lymphatic diseases Internal medicine medicine Humans business.industry medicine.disease Surgery Schistocyte Hemolytic-Uremic Syndrome Pediatrics Perinatology and Child Health Cholecystitis Vomiting Female Anuria Bloody diarrhea Hemodialysis medicine.symptom business |
Zdroj: | Archives of Pediatrics & Adolescent Medicine. 134:622 |
ISSN: | 1072-4710 |
DOI: | 10.1001/archpedi.1980.02130180078023 |
Popis: | The hemolytic-uremic syndrome (HUS) exhibits a prodrome characterized by prominent gastrointestinal (GI) symptoms including vomiting, diarrhea that is often bloody, and colicky abdominal pain. 1-3 Persistent vomiting and abdominal pain continued after return of normal renal function and cessation of hemolysis in a 15-year-old girl with severe HUS. She was found to have cholecystitis because of calcium bilirubinate stones, which developed as a consequence of hemolysis. Cholelithiasis occurring as a complication of HUS has not previously been reported. Report of a Case.— A previously healthy 15-year-old girl had anuria after five days of vomiting and bloody diarrhea. The diagnosis of HUS was made because of renal failure, anemia, thrombocytopenia, and the presence of many schistocytes on peripheral smear. The patient was then transferred to the Children's Hospital of Michigan, Detroit, where she remained anuric for 11 days. She required eight hemodialysis treatments and four transfusions of packed RBCs. Platelet counts |
Databáze: | OpenAIRE |
Externí odkaz: |