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[Cholecystitis in infants]

M M van Weissenbruch¹, C M Kneepkens, S Ekkelkamp

¹Afd. Kindergeneeskunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde

|September 2, 1995

Summary

Cholecystitis, an inflammation of the gallbladder, can occur in infants with abdominal pain. Early diagnosis via abdominal ultrasound and surgical gallbladder removal (cholecystectomy) are crucial for treatment.

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Area of Science:

Pediatric Surgery
Neonatal Medicine
Diagnostic Imaging

Background:

Cholecystitis is uncommon in infants but can present with non-specific abdominal symptoms.
Congenital or neonatal pathologies can predispose infants to gallbladder issues.

Observation:

Two infants, aged three months and four weeks, presented with abdominal symptoms.
Ultrasound examination initially suspected cholecystitis in both cases.

Findings:

Cholelithiasis (gallstones) was the cause in the first infant.
Anatomic anomaly of the cystic duct led to gallbladder infection in the second infant.
Surgical confirmation and treatment (cholecystectomy) were performed.

Implications:

Cholecystitis should be considered in the differential diagnosis of abdominal symptoms in neonates and young infants.
Abdominal ultrasonography is a valuable tool for diagnosing infant cholecystitis.
Cholecystectomy remains the definitive treatment for symptomatic cholecystitis in this age group.

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