Year 2011 / Volume 103 / Number 8
Notas
Hemorrhagic cholecystitis and hemobilia: two infrequent complications of systemic lupus erythematosus

pp. 431-433

Rocío García Pérez, David Ruiz de Angulo, María José López Poveda, Beatriz Febrero Sánchez, Diana Navas Carrillo y Pascual Parrilla Paricio

Abstract
Introduction: the patients affected by systemic lupus erythematosus (SLE) often suffer gastrointestinal symptoms. The differential diagnosis should contemplate pathology of the gall bladder. We present the case of a patient with hemorrhagic lithiasic cholecystitis and hemobilia.

Case report: 24 year old female diagnosed with SLE under treatment with Sintrom®, Dacortin® and Dolquine® that presented acute lithiasic cholecystitis and hemobilia with a distal calculus.

Cholecystectomy and aperture of the ductus choledochus were
performed allowing to confirm the hemobilia and to extract the calculus.

Discussion: the treatment of cholecystitis in the patients with
SLE is controversial due to the fact that most reviewed cases have been solved with cholecystectomy, or in other cases with conservative treatment with corticosteroids. We believe that the presence of cholelithiasis in a patient with SLE with pain on the right hypochondrium and ultrasound confirming the suspicion of cholecystitis demands a surgical treatment since the cause may be vascular, lithiasic or combined.

Besides, the possible complications will not respond to pharmaceutical treatment.
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Rocío García Pérez, David Ruiz de Angulo, María José López Poveda, Beatriz Febrero Sánchez, Diana Navas Carrillo y Pascual Parrilla Paricio. Hemorrhagic cholecystitis and hemobilia: two infrequent complications of systemic lupus erythematosus. 431-433


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