{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:56:05Z","timestamp":1792799765259,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Scientific Research Project of Sichuan Health and Family Planning Commission","award":["No. 17PJ260"],"award-info":[{"award-number":["No. 17PJ260"]}]},{"name":"Project of Science and Technology Department of Sichuan Province","award":["No. 2019YFS0426"],"award-info":[{"award-number":["No. 2019YFS0426"]}],"id":[{"id":"https:\/\/ror.org\/04323m874","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Project of Science and Technology Department of Sichuan Province","award":["No.2021YFS0094"],"award-info":[{"award-number":["No.2021YFS0094"]}],"id":[{"id":"https:\/\/ror.org\/04323m874","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Kawasaki disease (KD) is a common systemic vasculitis in childhood that can result in damage to multiple body systems. However, prominent gallbladder (GB) enlargement in the acute stage is especially rare. A 5-year-old boy was admitted to the hospital with an 8-day history of a cervical mass, 7-day history of fever, and 5-day history of abdominal pain and rash. The child was diagnosed with KD. After treatment with high-dose intravenous immunoglobulin therapy (2 g\/kg), all clinical manifestations were relieved except the abdominal pain. Enhanced computed tomography showed distinct enlargement of the GB, and a congenital choledochal cyst was strongly suspected. After high-dose glucocorticoid treatment, his obviously enlarged GB returned to normal size in the subacute phase. No abnormality was found during 2 years of follow-up. Prominent GB enlargement may emerge in the acute stage of KD. The enlarged GB can return to normal size within the subacute stage by standard treatment for KD. Proper diagnosis, thorough differential diagnosis, and active anti-inflammatory treatment of KD are crucial to avoid surgery.<\/jats:p>","DOI":"10.1177\/03000605211041507","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T02:59:05Z","timestamp":1631156345000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Prominent gallbladder enlargement: Kawasaki disease or other congenital or acquired gallbladder disease? A case report"],"prefix":"10.1177","volume":"49","author":[{"given":"Liang","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Paediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China"},{"name":"The Cardiac Development and Early Intervention Unit, West China Institute of Women and Children\u2019s Health, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China"},{"name":"Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu, Sichuan, China"},{"name":"Key Laboratory of Development and Diseases of Women and Children of Sichuan Province, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimin","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, West China Second University 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