Kawasaki 병의 복부 초음파검사 소견

Abstract

Acute hydrops of the gallbladder has been reported in Kawasaki disease as a major component of abdominal crises. Certain abdominal symptoms and signs such as abdominal pain, vomiting, diarrhea and abnormal liver function test were correlated with the development of hydrops. Ultrasonography provides a simple, rapid and noninvasive prccedure, which is helpful for the evaluation and diagnosis of gallbladder disease and other abdominal organic abnormality. Abdominal ultrasonography were done on 51 cases of Kawaski disease which were admitted to Pediatric department of Dong San hospital, Keimyung University, during the period of four years and three months from March 1983 through June 1987 and observed the abnormal findings. Out of 51 tested cases, abnormal ultrasonographic findings were observed on 10 cases(19.6%), showing gallbladder distention in 8 cases(15.6%), gallbladder hydrops in 1 case(2.0%) and splenomegaly in 1 case(2.0%) Gastrointestinal symptoms such as abdominal pain, vomiting and diarrhea were noted in 5 abnormal ultrasonographic cases(50%). Authors suggest that abdominal ultrasonography is necessary for those Kawasaki disease patients who complained of gastrointestinal symptoms.