Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis.

Abstract:

:A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the infant underwent laparoscopic cholecystectomy with an intraoperative cholangiogram. The patient did well postoperatively and was on regular feeding by postoperative day 1. An intraoperative cholangiogram showed an impacted stone in the infidibulum of the gallbladder. Gross and histopathologic findings indicated chronic cholecystitis. Based on an extensive review of the literature, this case appears to be the first reported incidence of chronic cholecystitis in a neonate and that of the youngest patient to undergo a laparoscopic cholecystectomy with intraoperative cholangiogram.

journal_name

J Pediatr Surg

authors

Gertner M,Farmer DL

doi

10.1016/j.jpedsurg.2003.09.034

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

E17-9

issue

1

eissn

0022-3468

issn

1531-5037

pii

S0022346803007280

journal_volume

39

pub_type

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