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CASE REPORT
Gallbladder empyema complicating acute myeloid leukaemia in an adolescent boy
  1. Gitika Pant1,
  2. Archana Kumar1,
  3. Nishant Verma1,
  4. Anil Sharma2
  1. 1Department of Pediatrics, King George’s Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Pediatric hematoncology and BMT, Medanta The Medicity, Gurgaon, Haryana, India
  1. Correspondence to Dr Gitika Pant, dr.gitikapant{at}gmail.com

Summary

Gallbladder (GB) empyema is an uncommon complication in acute myeloid leukaemia (AML). Non-specific signs and symptoms and rarity of disease in AML make it difficult to diagnose early. We report a case of 13-year-old boy who had AML and developed GB empyema in the neutropaenic period. The patient was managed with antibiotics, ultrasound-guided tapping and interval cholecystectomy and recovered well. GB empyema is a life-threatening complication which should be kept as a possibility while evaluating patients with neutropaenia with pain abdomen localised to right hypochondrium as early diagnosis and treatment can lead to better outcomes.

  • malignant disease and immunosuppression
  • paediatric oncology
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Footnotes

  • Contributors AK and NV designed the study. GP and AS drafted the manuscript. All authors critically reviewed and approved the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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