Korean J Med.  2012 Sep;83(3):342-346.

A Case of Idiopathic Eosinophilic Cholecystitis Treated with Steroids

• Kang HJ
• Choi MH
• Kim HT
• Kwak TY
• Lee HC
• Kim YS
• Kwak DH

Abstract

Eosinophilic cholecystitis is a rare disease characterized by transmural leukocyte infiltration composed of more than 90% eosinophils. Eosinophilic cholecystitis is clinically indistinguishable from ordinary cholecystitis, and as a rule it leads to cholecystectomy. We report a case of idiopathic eosinophilic cholecystitis treated with steroids. A 75-year-old woman presented with a classic history of acute cholecystitis and a peripheral eosinophilia of 41.8%. There was no evidence of allergy or parasitic infestation. An abdominal ultrasonography and computed tomography (CT) scan showed an edematous, thickened gallbladder wall, but no gallstones. There was no evidence of eosinophilic infiltration in other organs. Cholecystectomy was not performed because the patient refused surgical management. However, fever, abdominal pain, and peripheral eosinophilia persisted despite antibiotic and conservative therapy. Therefore, we attempted treatment with prednisolone. A week later, the symptoms disappeared and the peripheral eosinophilia normalized.

Keyword

Eosinophilic cholecystitis; Idiopathic; Steroids

MeSH Terms

Abdominal Pain
Aged
Cholecystectomy
Cholecystitis
Cholecystitis, Acute
Eosinophilia
Eosinophils
Female
Fever
Gallbladder
Gallstones
Humans
Hypersensitivity
Leukocytes
Prednisolone
Rare Diseases
Steroids
Prednisolone
Steroids