Kakoo Brioso Estela, Jonet Joana, Antunes Sofia M
Pediatrics, Hospital De Cascais Dr. José De Almeida, Lisbon, PRT.
Pediatrics, Hospital de Cascais Dr. José de Almeida, Lisbon, PRT.
Cureus. 2022 May 21;14(5):e25180. doi: 10.7759/cureus.25180. eCollection 2022 May.
Acute cholecystitis is an exceedingly rare condition in young children; nevertheless, it should be considered while investigating an acute abdomen. We report a case of a five-month-old male who presented to the pediatric emergency department with inconsolable crying, decreased oral intake, vomiting, diarrhea, and a tender right upper quadrant of the abdomen. Laboratory studies revealed elevated gamma-glutamyl transferase and alkaline phosphatase and the abdominal ultrasound was suggestive of acute calculous cholecystitis. The patient was treated with intravenous hydration and antimicrobial therapy, avoiding the need for emergent cholecystectomy. A calcium bilirubinate calculus was observed in the feces but no etiology was found after extensive investigation. We aim to raise awareness of this diagnosis and the need for prompt initiation of therapy to avoid complications.
急性胆囊炎在幼儿中极为罕见；然而，在对急腹症进行检查时应予以考虑。我们报告一例五个月大的男性患儿，他因持续哭闹、进食减少、呕吐、腹泻以及右上腹压痛而被送至儿科急诊科。实验室检查显示γ-谷氨酰转移酶和碱性磷酸酶升高，腹部超声提示急性结石性胆囊炎。该患者接受了静脉补液和抗菌治疗，避免了急诊胆囊切除术的需要。粪便中发现了胆红素钙结石，但经过广泛检查后未发现病因。我们旨在提高对该诊断的认识以及及时开始治疗以避免并发症的必要性。
