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Hepatic duct stone associated with chlamydia sepsis: a rare condition in childhood

S Celayir1, N Sarimurat, O Ekiz

  • 1Department of Pediatric Surgery, Cerrahpaşa Medical Faculty, University of Istanbul, Istanbul, Turkey.

Insights

Bile duct stones are rare in infants. This case highlights a hepatic duct stone in an infant following chlamydia sepsis, leading to recurrent cholangitis.

Area of Science:

  • Pediatric surgery
  • Hepatology
  • Neonatal medicine

Background:

  • Biliary stones are uncommon in infants.
  • Predisposing factors include sepsis and antibiotic use.
  • Recurrent cholangitis can be a symptom of biliary obstruction.

Observation:

  • A 16-week-old infant presented with recurrent cholangitis.
  • The infant had a history of chlamydia sepsis.
  • A bile stone was identified in the hepatic duct.

Findings:

  • Surgical intervention was required to treat the infant.
  • The hepatic duct stone was successfully removed.
  • Resolution of cholangitis symptoms post-surgery.

Implications:

  • This case expands the understanding of pediatric biliary stone formation.
  • Highlights the importance of considering biliary pathology in infants with sepsis and cholangitis.
  • Suggests potential links between neonatal sepsis and biliary complications.

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