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Acute Acalculous Cholecystitis Perforation in a Child Non-Surgical Management

Hanan M Alghamdi1

  • 1King Fahad Specialist Hospital-Dammam, Saudi Arabia; University of Dammam, Saudi Arabia.

Gastroenterology Research
|August 1, 2012
PubMed

Insights

Spontaneous gallbladder perforation (SGP) is a rare complication, especially in children. This case highlights successful management of acalculous SGP in a pediatric kidney transplant recipient using percutaneous drainage.

Area of Science:

  • Pediatric Surgery
  • Transplant Surgery
  • Gastroenterology

Background:

  • Spontaneous gallbladder perforation (SGP) is a rare and often fatal complication, typically linked to acute calculus cholecystitis in adults.
  • Pediatric cases of SGP are exceptionally uncommon, making diagnosis and management challenging.

Observation:

  • A 15-year-old child, post-kidney transplant, presented with a rare instance of acalculous gallbladder perforation.
  • The patient's condition was managed non-surgically due to the complexity of their medical history.

Findings:

  • Percutaneous cholecystostomy tube drainage was successfully employed as a minimally invasive treatment for acalculous SGP in this pediatric patient.
  • This approach avoided the risks associated with surgical intervention in an immunocompromised, post-transplant child.

Implications:

  • This case demonstrates the feasibility and effectiveness of percutaneous drainage for managing acalculous SGP in pediatric transplant recipients.
  • It suggests a potential alternative treatment strategy for SGP in high-risk pediatric populations, warranting further investigation.

Keywords:
Acute acalculous cholecystitisCholecystostomy tubeGallbladder perforation

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