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This is a 12 year old girl with systemic lupus erythematosus diagnosed since 9 years of age, who came in to the University Hospital in Cali Colombia with epigastric abdominal pain. Clinical and serological evidence of lupus activation was found at the admittance. Initial abdominal ultrasound was normal, and upper endoscopy showed antral gastritis. Treatment with omeprasol and diet was established. The patient did not improved and a second abdominal ultrasound was done 6 days later, which showed increased gallbladder wall thickness without gallstones. Laparoscopic cholecystectomy was performed, with improvement of the patient condition. Pathology showed evidence of vasculitis in midium size arteries of the gallbladder. Acalculous cholecystitis by vasculitis is a rare complication of adult patients with lupus and only one pediatric patient has been describe in the literature. We report the case and review the literature.

Consuelo de Rovetto, Universidad del Valle

Profesora Titular y Jefe del Departamento de Pediatría, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.

Andrés Felipe Ortiz, Universidad del Valle

Residente, Departamento de Pediatría, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.

Ricardo Zarama, Universidad del Valle

Residente de cirugía pediátrica, Departamento de Cirugía, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.

Luis Eduardo Bravo, Universidad del Valle

Profesor Titular, Departamento de Patología, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.
de Rovetto, C., Ortiz, A. F., Zarama, R., & Bravo, L. E. (2007). Acalculous cholecystitis: complication of pediatric systemic lupus erythematosus. Colombia Medica, 38(1 Supl 1), 19–23. https://doi.org/10.25100/cm.v38i1 Supl 1.483

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