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Acalculous acute cholecystitis during the course of an enteroviral infection
Ana Sofia Simões1, Andreia Marinhas1, Paulo Coelho1
1Hospital Pediatrico de Coimbra, Coimbra, Portugal.
Insights
Acalculous acute cholecystitis, a rare gallbladder condition in children, presents with non-specific symptoms, making diagnosis difficult. This case highlights enteroviral infection as a potential cause in previously healthy children.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Diseases
- Infectious Diseases
Background:
- Gallbladder diseases are rare in children.
- Acalculous acute cholecystitis is the most common form of acute cholecystitis in pediatric patients.
- Diagnosis is challenging due to nonspecific clinical and laboratory findings.
Observation:
- Abdominal ultrasonography is the primary diagnostic tool.
- While often seen in critically ill children, it can affect healthy children.
- This report details a case in a child with an enteroviral infection.
Findings:
- The case study illustrates the diagnosis, treatment, clinical course, and prognosis of pediatric acalculous acute cholecystitis.
- Discussion includes pathophysiology, etiology, diagnosis, and treatment strategies.
- Enteroviral infection is presented as a potential contributing factor.
Implications:
- Highlights the importance of considering viral infections in pediatric acalculous acute cholecystitis.
- Emphasizes the need for prompt diagnosis and appropriate management in children.
- Contributes to understanding the diverse etiologies of gallbladder disease in pediatric populations.
Abstract:
Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Abdominal ultrasonography is the first-line exam. Most cases of paediatric acalculous acute cholecystitis have been described in critically ill patients, but can occur in previously healthy children, without underlying diseases or severe conditions. The authors present a clinical report of a child with acalculous acute cholecystitis and enteroviral infection. Diagnosis, treatment, clinical course and prognosis are described. Pathophysiology, aetiology, diagnosis and treatment of acalculous acute cholecystitis are also discussed.
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