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Choledocholithiases in a child with Hemoglobin Evans [alpha2 62(E11) Val→Met]

Itaru Hayakawa1, Hiroshi Hataya1, Takashi Kaneko2

  • 1Department of General Pediatrics Tokyo Metropolitan Children's Medical Center Tokyo Japan.

Clinical Case Reports
|July 8, 2016
PubMed

Insights

We report the first case of choledocholithiasis (bile duct stones) in a 10-year-old boy with Hemoglobin Evans. Epigastric pain in children with hemolytic conditions may indicate biliary colic, even if rare.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatology
  • Hematology

Background:

  • Choledocholithiasis, or bile duct stones, is uncommon in pediatric populations.
  • Hemolytic conditions can predispose individuals to gallstone formation.
  • Hemoglobin Evans is a rare hemoglobinopathy.

Observation:

  • A 10-year-old boy with diagnosed Hemoglobin Evans presented with epigastric pain.
  • This presentation prompted an investigation into potential biliary pathology.

Findings:

  • The patient was diagnosed with choledocholithiasis.
  • This represents the first documented case of choledocholithiasis in a patient with Hemoglobin Evans.

Implications:

  • Physicians should consider biliary colic in children presenting with epigastric pain, especially those with a known hemolytic status.
  • This case highlights the importance of considering choledocholithiasis in pediatric patients with specific hematologic conditions.
  • Early recognition and management of biliary stones are crucial in pediatric patients.

Keywords:
CholedocholithiasisHemoglobin Evans [alpha2 62(E11) Val→Met]hemolytic anemiaunstable hemoglobin

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