Cholelithiasis and perforated gallbladder in an infant.

Abstract:

:An infant presented with abdominal distension and failure to thrive. This patient was a 3.5-month-old, ex-26-week premature infant at the time of presentation who required supplemental parenteral nutrition until day 9 of life. Workup found ascites and a complex cystic mass in the porta hepatis. A perforated gallbladder with gallstones was found at laparotomy. The gallstones were removed, and the bed of the gallbladder was drained. Output from the drain was minimal by postoperative day 6, and the drain subsequently was removed. The child did well postoperatively; hematologic and metabolic workups were unrevealing. Perforation of the gallbladder is an exceedingly uncommon finding in infants. Appropriate management includes laparotomy and drainage of the gallbladder bed.

journal_name

J Pediatr Surg

authors

Rhoads K,Snyder J,Lee H

doi

10.1053/jpsu.2002.35029

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

1374-5

issue

9

eissn

0022-3468

issn

1531-5037

pii

S0022346802001033

journal_volume

37

pub_type

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