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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
PubMed

Insights

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.

Keywords:
CholecystectomyCholestasisInfantsCholelithiasis

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