A case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis.
Most infants with repaired gastroschisis develop normally and remain in good health. About 10% of patients with gastroschisis have other malformations. We report a case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis. A 17-year-old girl presented with fever, jaundice, and abdominal pain. She had undergone an operation to repair gastroschisis at birth. Physical examination revealed icteric sclera, a tight abdominal wall, and a longitudinal surgical scar at the midline. An abdominal computed tomography scan revealed a round calcifying lesion near the pancreas and a midline-positioned liver and gallbladder. Absence of the retroperitoneal duodenum and the anterior and left-sided position of the superior mesenteric vein compared with the superior mesenteric artery were observed. Results of abarium examination revealed intestinal malrotation. Endoscopic retrograde cholangiopancreatography revealed diffuse dilatation of the biliary trees and a malpositioned gallbladder. A single stone was removed by using a basket. The clinical symptoms improved after the patient underwent endoscopic retrograde cholangiopancreatography.
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Byung Chul
BC
Kim
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Ki Bae
KB
Kim
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Eui Joong
EJ
Kim
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Soonyoung
S
Park
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Dong-Hwa
DH
Lee
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Eun Bee
EB
Kim
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Hee Bok
HB
Chae
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Seon Mee
SM
Park
Choledocholithiasis; Gastroschisis; Intestinal malrotation