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Acute acalculous cholecystitis in an infant after cardiac surgery
1Pediatric Intensive Care Unit, Sheba Medical Center, Tel Hashomer, Israel.
Journal of Pediatric Surgery
|December 1, 1994
Insights
Acute acalculous cholecystitis, a severe condition in critically ill patients, can be diagnosed with imaging. This case study details a child
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Critical Care Medicine
Background:
- Acute acalculous cholecystitis (AAC) is a severe gallbladder inflammation without gallstones.
- It predominantly affects critically ill patients, posing diagnostic challenges.
- Early diagnosis and intervention are crucial for reducing morbidity and mortality.
Observation:
- A 30-month-old child developed AAC following surgical repair of tetralogy of Fallot.
- This presentation is uncommon in pediatric surgical patients.
Findings:
- Imaging studies are vital for the timely diagnosis of AAC.
- Prompt diagnosis can significantly improve patient outcomes.
Implications:
- Highlights the importance of considering AAC in post-operative pediatric patients, even without typical risk factors.
- Emphasizes the role of advanced imaging in managing this critical condition.
- Informs clinical practice regarding the diagnosis and treatment of AAC in complex pediatric cases.
Abstract:
Acute acalculous cholecystitis is a virulent disease that occurs most commonly in critically ill patients. Imaging studies may facilitate earlier diagnosis and may decrease the morbidity and mortality rates. The authors report on a 30-month-old child with acute acalculous cholecystitis after surgical repair of tetralogy of Fallot. A review of the clinical pathogenesis, diagnosis, and treatment is included.