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Related Experiment Videos

[Cholelithiasis in the neonatal period].

M Rey1, K H Deeg, G Zeilinger

  • 1Kinderklinik mit Poliklinik der Universität Erlangen-Nürnberg.

Klinische Padiatrie
|July 1, 1988
PubMed
Summary

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.

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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.

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