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Related Experiment Videos

Acalculous cholecystitis in a two year old.

D Croteau1, R D Signer, M S Chaet

  • 1Florida Children's Hospital, Orlando, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 8, 2001
PubMed
Summary

This case study details a young boy with acute acalculous cholecystitis (AC) despite lacking typical risk factors. Nonsurgical treatment provided temporary relief, but recurrent symptoms led to a laparoscopic cholecystectomy.

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Area of Science:

  • Pediatric Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Acute acalculous cholecystitis (AC) is uncommon in children, especially without predisposing factors.
  • Understanding AC pathogenesis is crucial for timely diagnosis and management in pediatric patients.

Observation:

  • A 2-year-old boy presented with symptoms typical of AC but lacked common risk factors.
  • Initial nonsurgical management resolved symptoms temporarily.
  • Recurrent biliary colic prompted further investigation.

Findings:

  • Computerized tomography (CT) scans revealed persistent gallbladder inflammation.
  • Radio-nucleotide scanning demonstrated gallbladder nonfunction.
  • Laparoscopic cholecystectomy was performed due to persistent disease.

Implications:

  • This case highlights the importance of considering AC in pediatric patients even without typical risk factors.
  • Diagnostic imaging (CT, radio-nucleotide scans) is vital for persistent or recurrent gallbladder disease.
  • Surgical intervention may be necessary for refractory AC in children.

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