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[Cholelithiasis in childhood].

J L Alonso Calderón1, J García Aroca, V Rollán Villamarín

  • 1Hospital Nacional Infantil Niño Jesús, Madrid.

Anales Espanoles De Pediatria
|August 1, 1989
PubMed
Summary
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Gallstones (cholelithiasis) are rare in children but can cause recurrent abdominal pain. This study reviews 11 pediatric cases, highlighting diagnosis via echography and surgical treatment with cholecystectomy.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatobiliary Surgery
  • Medical Diagnostics

Context:

  • Cholelithiasis, or gallstones, is uncommon in pediatric populations.
  • This study examines a cohort of 11 children diagnosed and treated for gallstones.
  • The research spans cases treated since 1979, offering a historical perspective.

Purpose:

  • To present the clinical characteristics, diagnostic methods, and treatment outcomes of pediatric cholelithiasis.
  • To analyze the etiological factors, including hemolytic diseases and idiopathic causes, associated with childhood gallstones.
  • To document the results and complications following cholecystectomy in young patients.

Summary:

  • Eleven pediatric patients with cholelithiasis were treated, with idiopathic causes (55%) and hemolytic diseases (18%) being the most frequent associations.

Related Experiment Videos

  • Recurrent abdominal pain, particularly in the epigastric or right subcostal region, was the primary symptom.
  • Diagnosis was confirmed using echography, and all patients underwent cholecystectomy.
  • Impact:

    • This case series contributes to understanding the presentation and management of a rare pediatric condition.
    • Highlights the importance of echography in diagnosing pediatric gallstones.
    • Provides data on surgical outcomes and potential complications of cholecystectomy in children.