Related Experiment Video
Updated: Sep 3, 2025
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Cholelithiasis in children: A characteristic study
1Padjadjaran University/ Dr. Hasan Sadikin Hospital, Faculty of Medicine, Department of Surgery, Pediatric Surgery Division, Bandung, West Java, Indonesia.
Insights
Pediatric cholelithiasis is uncommon but diagnosable with imaging. Laparoscopic cholecystectomy is the preferred surgical approach for children with gallstones.
Area of Science:
- Pediatric Gastroenterology
- Surgical Outcomes
- Medical Imaging
Background:
- Pediatric cholelithiasis (gallstones in children) is a rare condition compared to adults.
- Early diagnosis and appropriate management are crucial for favorable outcomes.
Purpose of the Study:
- To describe the clinical characteristics of pediatric cholelithiasis.
- To analyze treatment modalities and outcomes at a tertiary hospital in Indonesia.
Main Methods:
- A descriptive study of pediatric patients (0-18 years) diagnosed with cholelithiasis.
- Data collected included demographics, symptoms, medical history, diagnostic methods, and surgical interventions.
Main Results:
- 12 cases of pediatric cholelithiasis were identified over 4-5 years.
- Abdominal pain was the most common symptom (75%); thalassemia was a frequent comorbidity (25%).
- Laparoscopic cholecystectomy was the most common surgical procedure (33.3%).
Conclusions:
- Pediatric cholelithiasis, though rare, is increasingly diagnosable with advanced imaging.
- Minimally invasive surgery, particularly laparoscopic cholecystectomy, is the most frequently used treatment.
Introduction:
Pediatric cholelithiasis (PC) is relatively rare when compared to adult cholelithiasis. This study is aimed to describe the clinical characteristics of pediatric cholelithiasis treated at Hasan Sadikin General Hospital (HSGH), Bandung, Indonesia.
Materials And Methods:
This is a descriptive study of children aged 0-18 years who were diagnosed with and treated for cholelithiasis at the HSGH over 4-5 years. Variables collected during this study were sex, age, chief complaint, previous medical history, diagnostic test, definitive management, and clinical outcomes.
Results:
There were 12 cases of pediatric cholelithiasis during the study period, including those of 5 boys (41.7%) and 7 girls (58.3%). The mean and median age of the patients was 10.75 years and 12 years, respectively. The most prevalent complaint of the patients was abdominal pain (75%), followed by jaundice (16.6%) and abdominal distension (8.4%). Thalassemia was the most frequently associated disorder among the patients (25%). Ultrasonography was diagnostic imaging used on 66.6% of patients. Fifty-eight percent of patients have performed the surgery. The most frequently used surgical technique to manage the patients included laparoscopic cholecystectomy (33.3%), followed by laparotomic cholecystectomy (16.7%).
Conclusion:
PC is an uncommon disorder, but easier to diagnose reasonably with the development of imaging study. Minimally invasive procedures using laparoscopic cholecystectomy were the most frequently performed surgical treatment in this study.
Related Concept Videos
01:28Urinary Tract Calculi I: Introduction
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
01:26Endoscopic Procedures V: ERCP
Patient...
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
01:26Diseases of the Liver and Gallbladder
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
01:17Gallbladder
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...