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Acalculous cholecystitis in Nigerian children

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Abstract.

Sixteen children with acalculous cholecystitis (AC) were treated over a 9-year period (13 male and 3 female). Their ages ranged from 8 to 18 years (median 11). Eight (50%) presented with complications (perforation 4, gangrene 2, empyema 2); 13 (80%) presented with acute AC with a duration of symptoms of 2 weeks or less while 3 (20%) presented with chronic AC with symptoms present for more than 3 months. The diagnosis was made by ultrasound except in the patients with complications, who were diagnosed at laparotomy. Salmonella typhi was cultured in the bile and blood in 2 cases and the Widal titre was significantly elevated in 4 others. One child had chronic blockage of the cystic duct by a lymph node; in 9 there was no identifiable cause. Open cholecystectomy was successfully performed in 15 cases, while 1 child was managed non-operatively. The need for early diagnosis of cholecystitis in children is obvious if the potentially life-threatening complications of perforation and gangrene are to be avoided.

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References

  1. Tsakayannis DE, Kozakewich HPW, Lillehei CW (1996) Acalculous cholecystitis in children. J Pediatr Surg 31: 127–131

    PubMed  Google Scholar 

  2. Ameh EA (1999) Cholecystitis in children in Zaria, Nigeria. Ann Trop Paediatr 19: 205–209

    CAS  PubMed  Google Scholar 

  3. Ogundipe O, Ogunbiji TAJ, Ogumeyiwa MI (1975) Cholecystitis in a Nigerian child. Nigerian Med J 5: 163–164

    Google Scholar 

  4. Holcomb GW Jr, O'Neil JA, Holcomb GW III (1980) Cholecystitis, cholelithiasis and common duct stenosis in children and adolescents. Ann Surg. 191: 625–635

    Google Scholar 

  5. Hawkins PE, Graham FB, Holliday P (1966) Gallbladder disease in children. Am J Surg 11: 741–744

    Google Scholar 

  6. Pieretti R, Auldist AW, Stephen CA (1975) Acute cholecystitis in children. Surg Gynecol Obstet 140: 16–18

    CAS  PubMed  Google Scholar 

  7. Doty JE, Henry AP, Porker-Fink V, Denbesten L (1985) Cholecystokinin prophylaxis of parenteral nutrition induced gallbladder disease. Ann Surg 21: 76–80

    Google Scholar 

  8. Munster AM, Goodwin MN, Pruit BA (1971) Acalculous cholecystitis in burns patients. Am J Surg 122: 591–594

    CAS  PubMed  Google Scholar 

  9. Robertson RD (1970) Non calculous acute cholecystitis following surgery, trauma and illness. Ann Surg 36: 610–614

    CAS  Google Scholar 

  10. Winkler AP, Gleich S (1988) Acute acalculous cholecystitis caused by Salmonella typhi in an 11-year-old. Pediatr-Infect Dis J 7: 125–128

    PubMed  Google Scholar 

  11. Cello JP (1998) AIDS-related biliary tract disease. Gastroenterol Clin North Am 8: 963

    Google Scholar 

  12. Dylewski JS, Al-Azragi T (2000) Acalculous cholecystitis associated with Plasmodium falciparum infection (abstract). Clin Infect Dis 29: 947–948

    Google Scholar 

  13. Orlando R, Gleanson E, Drezner A (1983) Acute acalculous cholecystitis in the critically ill patient. Am J Surg 145: 472–476

    PubMed  Google Scholar 

  14. Davey WW (1973) Ascariasis. In: Companion to surgery in Africa. Churchill Livingstone, Edinburgh, pp 217–227

  15. Mabogunje OA, Daar AS (1994) Ascariasis and other intestinal nematode infections. In: Morris PJ, Malt RA (eds) Oxford textbook of surgery. Oxford University Press, New York, pp 2500–2507

  16. Takiff H, Fonkalsrud EW (1984) Gallbladder disease in childhood. Am J Dis Child 138: 565–568

    CAS  PubMed  Google Scholar 

  17. Holcomb GW III, Sharp KW, Neblett WW III, Morgan WM III, Pietsch JB (1994) Laparoscopic cholecystectomy in infants and children: modification and cost analysis. J Pediatr Surg 29: 900–904

    PubMed  Google Scholar 

  18. Kim PCW, Wesson D, Superina R, Filler R (1995) Laparoscopic cholecystectomy versus open cholecystectomy in children: which is better? J Pediatr Surg; 30: 971–973

    Google Scholar 

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Correspondence to L. B. Chirdan.

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Chirdan, L.B., Iya, D., Ramyil, V.M. et al. Acalculous cholecystitis in Nigerian children. Ped Surgery Int 19, 65–67 (2003). https://doi.org/10.1007/s00383-002-0826-z

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  • DOI: https://doi.org/10.1007/s00383-002-0826-z

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