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Acute acalculous cholecystitis causing gall bladder perforation in children.
Parag J Karkera1, Gursev Sandlas, Ritesh Ranjan
1Department of Pediatric Surgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India.
Journal of Indian Association of Pediatric Surgeons
|December 21, 2010
Summary
Two children experienced acute abdomen from gallbladder perforation and biliary peritonitis. Surgical gallbladder removal (cholecystectomy) and abdominal fluid cleaning (peritoneal lavage) effectively treated both cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Abdominal Emergencies
Background:
- Gallbladder perforation is a rare but serious complication in children.
- Biliary peritonitis presents a significant diagnostic and therapeutic challenge.
- Acute abdomen in pediatric patients necessitates prompt and accurate diagnosis.
Observation:
- Two pediatric cases presented with symptoms of acute abdomen.
- Diagnostic imaging and clinical examination revealed gallbladder perforation.
- Laboratory tests indicated signs of infection and inflammation.
Findings:
- Surgical intervention involving cholecystectomy (gallbladder removal) was performed.
- Peritoneal lavage was utilized to cleanse the abdominal cavity.
- Both patients demonstrated a complete recovery following the surgical procedures.
Implications:
- This case series highlights the importance of considering gallbladder perforation in pediatric acute abdomen.
- Cholecystectomy with peritoneal lavage is an effective treatment strategy.
- Early surgical management can lead to favorable outcomes in children with biliary peritonitis.
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