Abstract
Gallbladder pathology in children is uncommon, though obesity-related gallstones are becoming increasingly apparent in Western society. The treatment is surgical with laparoscopic cholecystectomy now the standard approach. Stones in the common bile duct are more problematic and treatment needs to be individualized to both center, facilities, experience, and patient. Ideally, this should be ERCP-extraction and removal followed by definitive cholecystectomy.
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Notes
- 1.
JB Murphy (1857–1916)—New York surgeon, early proponent of surgical treatment of appendicitis. The sign is flinching or gasping on inspiration when palpating in the RUQ due to the inflamed gallbladder impinging on the examiner’s hand.
- 2.
Jean-Martin Charcot (1825–1893): The founder of modern neurology, with many syndromes and signs to his credit. Worked at the Salpêtrière Hospital, Paris.
- 3.
Jean-François Calot (1861–1944): French surgeon, original description is not quite that of current boundaries.
Further Reading
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Khoo AK, Cartwright R, Berry S, Davenport M. Cholecystectomy in English children: evidence of an epidemic (1997–2012). J Pediatr Surg. 2014;49:284–8.
St Peter SD, Keckler SJ, Nair A, et al. Laparoscopic cholecystectomy in the pediatric population. J Laparoendosc Adv Surg Tech A. 2008;18:127–30.
Durakbasa CU, Balik E, Yamaner S, et al. Diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in children and adolescents: experience in a single institution. Eur J Pediatr Surg. 2008;18:241–4.
Poddighe D, Sazonov V. Acute acalculous cholecystitis in children. World J Gastroenterol. 2018;21(24):4870–79.
Coluccio M, Claffey AJ, Rothstein DH. Biliary dyskinesia: fact or fiction? Semin Pediatr Surg. 2020;29:150947. https://doi.org/10.1016/j.sempedsurg.2020.150947.
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Davenport, M. (2022). Gallbladder Disease. In: Sinha, C.K., Davenport, M. (eds) Handbook of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-84467-7_27
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DOI: https://doi.org/10.1007/978-3-030-84467-7_27
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