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Choledocholithiasis in a 4-month-old infant

Mathew Thomas1, Kavita Kadiwar, Bastian Domajnko

  • 1Division of Pediatric Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA.

Journal of Pediatric Surgery
|June 15, 2007
PubMed

Insights

Common bile duct stones are rare in infants. This case report details the successful endoscopic treatment of choledocholithiasis in a 4-month-old, offering insights into managing this rare condition.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatology
  • Endoscopic Procedures

Background:

  • Cholelithiasis diagnosis is rising in infants due to increased abdominal ultrasound use.
  • Symptomatic common bile duct stones (choledocholithiasis) in infancy are exceptionally rare and underreported.
  • Infantile choledocholithiasis presents diagnostic and therapeutic challenges.

Observation:

  • A 4-month-old infant presented with symptomatic choledocholithiasis.
  • The patient experienced symptoms attributed to common bile duct stones.
  • Diagnosis was confirmed, necessitating intervention.

Findings:

  • Successful endoscopic retrograde cholangiopancreatography (ERCP) was performed.
  • Endoscopic sphincterotomy was utilized as part of the treatment.
  • This approach effectively managed the symptomatic choledocholithiasis in the infant.

Implications:

  • Demonstrates the feasibility and success of ERCP and endoscopic sphincterotomy for infantile choledocholithiasis.
  • Highlights a minimally invasive treatment option for a rare pediatric condition.
  • Contributes to the limited literature on managing common bile duct stones in neonates and infants.

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