Cholecystitis and cholelithiasis in children.
Cholecystitis and cholelithiasis are being recognized with increasing frequency in infancy and childhood. Hematologic disorders continue to account for a large proportion of cases; however, many children are noted with cholelithiasis in association with total parenteral nutrition, ileal disorders, and prolonged fasting. Spontaneous stone resolution has been noted in many cases in infancy and a period of observation is indicated in the absence of obstructive symptoms. Cholecystectomy remains the procedure of choice for symptomatic cholelithiasis and cholecystitis and a laparoscopic procedure is possible in most cases after infancy.
Department of Surgery, Indiana University School of Medicine, Indianapolis.
F J
FJ
Rescorla
J L
JL
Grosfeld
D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications; D002648:Child; D002675:Child, Preschool; D002764:Cholecystitis / Q000209:etiology; D002769:Cholelithiasis / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D013103:Spherocytosis, Hereditary / Q000150:complications; D017086:beta-Thalassemia / Q000150:complications