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Acalculous cholecystitis in Nigerian children
L B Chirdan1, D Iya, V M Ramyil
1Paediatric Surgery Unit, Department of Surgery, Jos University Teaching Hospital, P.M.B. 2076, Jos, Nigeria. chirdanl@unijos.edu.ng
Pediatric Surgery International
|May 2, 2003
Summary
Pediatric acalculous cholecystitis (AC) often presents with severe complications. Early diagnosis and treatment are crucial to prevent life-threatening outcomes in children with AC.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Infectious Diseases
Background:
- Acalculous cholecystitis (AC) in children is uncommon but can lead to serious complications.
- Diagnosis and management in pediatric populations require specific considerations.
Purpose of the Study:
- To review the clinical presentation, diagnosis, and management of pediatric AC.
- To highlight the importance of early detection to avoid severe outcomes.
Main Methods:
- Retrospective review of 16 children treated for AC over 9 years.
- Diagnosis primarily by ultrasound; laparotomy for complicated cases.
- Bacterial cultures and serological tests for Salmonella typhi.
Main Results:
- 50% of patients presented with complications (perforation, gangrene, empyema).
- 80% had acute AC with symptoms ≤2 weeks; 20% had chronic AC (>3 months).
- Salmonella typhi implicated in some cases; cause unknown in 9 patients.
Conclusions:
- Early diagnosis of pediatric AC is essential to prevent life-threatening complications.
- Prompt surgical or non-operative management is indicated.
- Further research into etiologies and optimal management strategies is warranted.