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Acute acalculous cholecystitis in an infant after gastroschisis closure
Irfan Shehzad1, Nicholas Nelson2, Niraj Vora1
1Department of Neonatology, Baylor Scott & White Medical Center - Temple, Temple, Texas.
Insights
Gastroschisis, a congenital defect, can lead to complications like gallbladder inflammation. This case highlights successful diagnosis and treatment of acute acalculous cholecystitis in an infant with gastroschisis.
Area of Science:
- Pediatric Surgery
- Neonatology
- Gastroenterology
Background:
- Gastroschisis is a congenital anterior abdominal wall defect with exposed intraabdominal organs.
- While prognosis is generally excellent, complications necessitate further intervention in some infants.
Observation:
- A female infant with gastroschisis developed acute perforated acalculous cholecystitis.
- The condition involved inflammation of the gallbladder without gallstones.
Findings:
- Abdominal ultrasound accurately diagnosed the acute perforated acalculous cholecystitis.
- The infant was successfully treated with medical management and a percutaneous cholecystostomy tube.
Implications:
- This case demonstrates a rare complication of gastroschisis.
- Early diagnosis and appropriate management are crucial for favorable outcomes in complex gastroschisis cases.
Abstract:
Gastroschisis is a common type of congenital anterior abdominal wall defect with intraabdominal organs exposed outside the abdominal cavity. With modern neonatology and surgical practices, the overall prognosis for infants with gastroschisis is excellent. However, a subset of infants with gastroschisis will develop complications, requiring repeat surgical interventions. We present a case of a female infant with complicated gastroschisis who developed acute perforated acalculous cholecystitis, which was accurately diagnosed with abdominal ultrasound and successfully treated with medical management and a percutaneous cholecystostomy tube.
