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Cholelithiasis in early infancy

Wilcox1, Casson, Bowen

  • 1Royal Manchester Children's Hospital, Hospital Road, Manchester, M 27 1 HA, UK

Pediatric Surgery International
|March 21, 1997
PubMed
Summary

Infants and young children can develop gallstones causing obstructive jaundice. Prompt surgical treatment, including cholecystectomy, is effective in resolving this condition.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Medicine

Background:

  • Gallstones causing obstructive jaundice are rare in infants and young children.
  • Predisposing factors may include Escherichia coli septicaemia and frusemide therapy.

Purpose of the Study:

  • To report on three pediatric cases of obstructive jaundice due to gallstones.
  • To highlight risk factors and successful treatment modalities.

Main Methods:

  • Case series involving three children aged 7 weeks to 5 months.
  • Surgical intervention included cholecystectomy and common bile duct exploration.

Main Results:

  • All three patients presented with obstructive jaundice secondary to gallstones.
  • Two patients had a history of Escherichia coli septicaemia and frusemide use.
  • Successful treatment was achieved in all cases via surgery.

Conclusions:

  • Cholecystectomy and common bile duct exploration are effective treatments for pediatric gallstone-induced obstructive jaundice.
  • Early identification and surgical management are crucial for favorable outcomes in affected infants and children.

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