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Acute inflammation and distension of the gall bladder in infancy

Y Ziv, Z Feigenberg, M Dintsman

    Australian Paediatric Journal
    |February 1, 1987
    PubMed

    Insights

    Acute acalculous cholecystitis is rare in infants but presents as a palpable abdominal mass. Early surgical intervention, specifically cholecystectomy, is recommended for this condition.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Neonatal Medicine

    Background:

    • Acute cholecystitis is uncommon in children, often linked to hemolytic anemias, infections, or congenital issues.
    • Gallbladder inflammation and distension in infants are exceptionally rare, with unknown causes.

    Observation:

    • This study details two infant cases of acute acalculous cholecystitis.
    • Both infants presented with significantly distended gallbladders.

    Findings:

    • Acute acalculous cholecystitis should be considered in infants with right abdominal masses or tenderness, especially if ill.
    • The underlying cause in infants is frequently unidentified.

    Implications:

    • Early surgical management, including cholecystectomy, is advised for acute acalculous cholecystitis in infants.
    • Recognizing this rare condition is crucial for timely diagnosis and treatment in affected infants.

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