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[Cholelithiasis in the neonatal period]
1Kinderklinik mit Poliklinik der Universität Erlangen-Nürnberg.
Klinische Padiatrie
|July 1, 1988
Insights
A four-week-old infant experienced jaundice, cholangitis, and fever due to gallstones (cholelithiasis). This condition was confirmed via ultrasound, with a family history of gallstones noted.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Medical Imaging
Background:
- Cholelithiasis (gallstones) is uncommon in infants.
- Cholangitis, an infection of the bile ducts, presents with jaundice, fever, and abdominal pain.
- Infantile cholestasis can be caused by various factors, including biliary obstruction.
Observation:
- A four-week-old male infant presented with jaundice, fever, and signs of cholangitis.
- Sonographic examination confirmed the presence of gallstones (cholelithiasis) as the cause.
- A family history of gallstones was reported in several relatives.
Findings:
- Cholelithiasis in a young infant leading to cholangitis and fever.
- Ultrasound as a key diagnostic tool for pediatric gallstones.
- Potential genetic predisposition to gallstone formation.
Implications:
- Highlights the importance of considering cholelithiasis in infants presenting with cholestatic jaundice and fever.
- Suggests a possible genetic component in the etiology of early-onset gallstones.
- Emphasizes the utility of ultrasonography in diagnosing biliary tract abnormalities in neonates and infants.
Abstract:
We report about a four weeks old male infant who developed jaundice with cholangitis and fever caused by cholelithiasis which could be confirmed by sonographic examination. Familiar history revealed several relatives with gallstones.