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Updated: Sep 2, 2025
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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
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[Cholelithiasis and cholecystectomy in infants].
P Perugini1, V Verdin1, C Pirlet2
1Service de Chirurgie abdominale et pédiatrique, CHR Liège, Belgique.
Revue Medicale De Liege
|August 4, 2022
Summary
Gallstones in infants, or pediatric cholelithiasis, are rare. A 3-month-old infant with bile duct obstruction and jaundice was successfully treated with cholecystectomy, demonstrating effective management for this uncommon condition.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Surgery
Background:
- Cholelithiasis (gallstones) is uncommon in infants and children.
- Biliary obstruction in infants can lead to cholestatic jaundice.
Observation:
- A 3-month-old infant presented with cholestatic jaundice due to terminal bile duct obstruction.
- The patient underwent cholecystectomy with trans-cystic cholangiography and common bile duct clearance.
Findings:
- The infant's condition resolved excellently following the surgical intervention.
- Literature review reveals a scarcity of large cohort studies on pediatric biliary lithiasis.
Implications:
- Current treatment options for pediatric gallstones include percutaneous biliary lavage, ERCP with sphincterotomy, and cholecystectomy.
- No single treatment modality has demonstrated superiority, necessitating individualized, case-by-case management strategies.
- Further research is needed to establish standardized treatment algorithms for pediatric cholelithiasis.
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