Cholecystitis and cholelithiasis are occurring with increasing frequency in children. Cholecystectomy for symptomatic cholelithiasis, cholecystitis, and biliary dyskinesia now comprise approximately 4% of all cholecystectomies performed in this age group. Although younger boys and girls have similar rates of gallstone disease, girls are more commonly affected as age increases, with a female-to-male predominance of between 10 and 20–1. Once thought to be isolated to patients with hemolytic disease, gallstone formation is also associated with prolonged parenteral nutrition, trauma, sepsis, pregnancy, and obesity. Non-hemolytic cholelithiasis is more prevalent than hemolytic cholelithiasis. In our experience, the incidence of cholesterol gallstones as an indication for laparoscopic cholecystectomy far exceeds that of pigmented stones. Pediatricians and pediatric surgeons should consider the possibility of gallbladder pathology in every child presenting with abdominal pain.


Common Bile Duct Laparoscopic Cholecystectomy Cystic Duct Acute Cholecystitis Hereditary Spherocytosis 

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryMedical University of South Carolina, Children’s HospitalCharlestonUSA

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