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Abdominal Ultrasonographic Findings in Patients with Kawasaki Disease.

Journal of the Korean Pediatric Society 1988;31(3):348-354.
Published online March 31, 1988.
Abdominal Ultrasonographic Findings in Patients with Kawasaki Disease.
Ho Taek Kim1, Chang Ho Hong1, Chul Lee1, Sung Kyu Lee1, Pyung Kil Kim1, Ki Kun Oh2
1Departments of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea
Kawasaki병의 복부 초음파검사에 대한 연구 -담낭의 병변을 중심으로-
김호택1, 홍창호1, 이철1, 이승규1, 김병길1, 오기근2
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실
Received: 30 October 1987
Abstract
Kawasaki disease, first reported in Korea in 1973, is now one of the disease commonly encountered in pediatric age group. It presents systemic symptoms including abdominal ones such as pain, nausea and vomiting, etc. There have been several case reports of hydrops of the gallbladder occuring concurrently with Kawasaki disease, and the abdominal symptoms of the disease are known to correlate with hydrops of the gallbladder. Hydrops of the gallbladder is a disease which can be diagnosed with ultrasonographic scans. We assessed the incidence of hydrops of the gallbladder in patients with Kawasaki disease using abdominal ultrasonography, and tried to correlate the size of the gallbladder and the presence of abdominal symptoms. The results are as follows: 1) The abnormal findings found in abdominal ultrasonography were hepatomegaly in 75% of the cases, splenomegaly in 57.1%, pericholecystic halo in 21.4%, and enlargement of the gallbladder, 17. 9%. The criterion for an enlarged gallbladder was a length of 5 cm or greater in the long axis of the gallbladder. 2) The leukocyte and platelet counts of patients with enlarged gallbladder were compared with those of patients without enlarged gallbladders, and there were no statistical significances between them. 3) The size of gallbladder was evaluated with reference to the presence of abdominal symptoms and the elevation of transaminase levels, and only in patients who complained of abdominal pain was the long axis of the gallbladder longer than in those without abdominal symptoms. This was statistically significant. 4) The relationship between age and the incidence of gallbladder enlargement was studied, but there were no statistically significant differences.
Key Words: Kawasaki disease, Hydrops of gallbladder, Abdominal ultrasonography


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