Pal Kamalesh
Division of Pediatric Surgery, Department of Surgery, King Fahad Hospital of the University, College of Medicine, University of Dammam, Al Khobar, Kingdom of Saudi Arabia.
Afr J Paediatr Surg. 2011 May-Aug;8(2):211-4. doi: 10.4103/0189-6725.86065.
Acute abdomen in a diabetic child may cause diagnostic dilemma. Acalculous emphysematous cholecystitis (EC), although reported among critically ill or diabetic adults, is an uncommon occurrence in the children. It may complicate the presentation due to its varied manifestations; especially when associated with other concomitant intra-abdominal inflammatory pathologies. We encountered a rare concurrence of acute EC complicated with pericholecystic fluid collection and secondary appendicitis causing non-specific acute abdomen in an 11-year-old obese boy with insulin-dependent diabetes mellitus. Laparoscopy proved to be a highly useful tool in the diagnosis and treatment of this surgical dilemma.
糖尿病患儿的急腹症可能会导致诊断难题。无结石性气肿性胆囊炎（EC）虽然在重症或糖尿病成人中有所报道，但在儿童中并不常见。由于其表现多样，它可能会使病情复杂化；尤其是当与其他并发的腹腔内炎症性病变相关时。我们遇到了一例罕见的情况，一名11岁患有胰岛素依赖型糖尿病的肥胖男孩，急性EC并发胆囊周围积液和继发性阑尾炎，导致非特异性急腹症。腹腔镜检查被证明是诊断和治疗这一外科难题的非常有用的工具。
