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Choledocholithiasis in a premature neonate

M B Ishitani1, D B Shaul, E A Padua

  • 1Department of Surgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA.

The Journal of Pediatrics
|June 1, 1996
PubMed
Summary

Choledocholithiasis (stones in the common bile duct) is rare in infants, particularly premature ones. A premature neonate with biliary stones was successfully treated with a cholecystotomy tube and biliary irrigation.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Choledocholithiasis and cholelithiasis are uncommon in neonates and infants.
  • Prematurity and associated complications increase the risk of biliary calculi development.
  • Increased use of ultrasonography may lead to more frequent diagnoses in neonates.

Observation:

  • A case of choledocholithiasis and cholelithiasis in a premature neonate is presented.
  • The neonate had complications related to prematurity, predisposing to biliary calculi.
  • Diagnostic ultrasonography likely contributed to the identification of the condition.

Findings:

  • Successful treatment was achieved through surgical placement of a cholecystotomy tube.
  • Irrigation of the biliary system via the tube effectively managed the stones.

Related Experiment Videos

  • This case highlights a viable treatment option for neonatal biliary stones.
  • Implications:

    • This case demonstrates a successful minimally invasive approach for treating neonatal choledocholithiasis.
    • Early diagnosis and intervention can improve outcomes in premature infants with biliary calculi.
    • Further research into the predisposition and management of biliary stones in premature neonates is warranted.