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[Post-traumatic cholelithiasis]

J C de Agustín1, J C Ollero Fresno, K A Taoubeh

  • 1Servicio de Cirugía Pediátrica, Hospital Nacional Infantil Niño Jesús, Madrid.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|January 1, 1994
PubMed
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Trauma in a child led to gallbladder stones, which unexpectedly dissolved within three months. This case highlights the transient nature of biliary calculi following significant injury.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Trauma Medicine

Background:

  • Understanding the etiology of biliary calculi (gallstones) is crucial, particularly in pediatric cases.
  • Traumatic injuries can precipitate various physiological changes, potentially influencing metabolic and digestive processes.

Observation:

  • A 5-year-old patient developed biliary calculi following trauma, splenic injury, and hemoperitoneum.
  • Despite the presence of gallstones, the patient remained asymptomatic, necessitating conservative management with ultrasound follow-up.

Findings:

  • Gallstones were detected six days post-injury.
  • Remarkably, all biliary stones completely dissolved by the three-month follow-up mark.

Implications:

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  • This case suggests a potential link between severe trauma and the transient formation and spontaneous resolution of gallstones in children.
  • Further research into the etiopathogenic factors and therapeutic strategies for trauma-induced cholelithiasis is warranted.