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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

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Cholecystectomy For Gall Stones In 26 Months Old Child

Junaid Zeb1, Shawana Asad1, Irfanud Din Khattak1

  • 1Department of Surgery, Ayub Teaching Hospital, Abbottabad, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|January 14, 2018
PubMed

Insights

Gallstones (cholelithiasis) are increasingly detected in Pakistani children, necessitating further study. A pediatric case highlights early diagnosis and successful surgical removal of gallstones.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Reports

Background:

  • Cholelithiasis (gallstones) is a significant global health concern.
  • The incidence and diagnostic trends of pediatric gallstones in Pakistan require further investigation.
  • Recurrent abdominal pain and anorexia can be indicative of pediatric gallstones.

Observation:

  • A healthy 2-year-old male presented with recurrent abdominal pain and anorexia.
  • Ultrasonography revealed a 0.6 mm gallstone, gallbladder inflammation, and pericholecystic fluid.
  • Surgical findings included a distended gallbladder with multiple small calculi.

Findings:

  • Successful open cholecystectomy was performed under general anesthesia.
  • The patient experienced an uneventful postoperative recovery.
  • Oral feeding was initiated 24 hours post-surgery.

Implications:

  • This case underscores the importance of considering gallstones in pediatric patients with abdominal complaints.
  • Early diagnosis and surgical intervention (cholecystectomy) can lead to favorable outcomes in pediatric cholelithiasis.
  • Further research is warranted to understand the rising incidence of pediatric gallstones in Pakistan.

Keywords:
Acute CholecytitisCholecystectomyPaediatric Cholelithiasis

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