Korean J Anesthesiol.  2009 Dec;57(6):749-753. 10.4097/kjae.2009.57.6.749.

Cholecystectomy of a patient with Churg-Strauss syndrome: A case report

• Chung KY
• Kim HK
• Yoon JY
• Kim WS

• KMID: 2239794
• DOI: http://doi.org/10.4097/kjae.2009.57.6.749

Abstract

Churg-Strauss syndrome is an allergic granulomatous angitis and the organ most commonly involved in this condition is the lung. However, this syndrome also affects the skin, cardiovascular system, kidney, peripheral nervous system and gastrointestinal system. Cardiac involvement is a rare complication but can lead to rapid-onset heart failure as the result of specific cardiomyopathy. Pericardial effusion may also occur. Acalculous cholecystitis is also a rare complication of Churg-Strauss syndrome. Here, we present a case of a patient with Churg-Strauss syndrome and severe heart failure scheduled for cholecystectomy due to acalculous cholecystitis. The patient had mild asthma symptoms, peripheral neuritis in both legs, and severe heart failure. During the preoperative period, steroids, beta2 agonists, diuretics, and antihypertensive drugs were administered. During anesthesia we attempted to prevent compromising the patient's cardiac and pulmonary functions. The surgery was completed successfully, and the patient was discharged without any complications.

Keyword

Asthma; Cholecystectomy; Churg-Strauss syndrome; Heart failure

MeSH Terms

Acalculous Cholecystitis
Anesthesia
Antihypertensive Agents
Asthma
Cardiomyopathies
Cardiovascular System
Cholecystectomy
Churg-Strauss Syndrome
Diuretics
Heart Failure
Humans
Kidney
Leg
Lung
Neuritis
Pericardial Effusion
Peripheral Nervous System
Preoperative Period
Skin
Steroids
Antihypertensive Agents
Diuretics
Steroids