Case Report
Year: 2023 | Month: January | Volume: 10 | Issue: 1 | Pages: 256-262
DOI: https://doi.org/10.52403/ijrr.20230128
Cholelithiasis Associated to Acute Pancreatitis and Chronic Cholecystitis; A Case Report
Addina Irawan1, Yusri Dianne Jurnalis2, Jon Efendi3
1Department of Pediatric, Faculty of Medicine, Andalas University, Indonesia
2Neurologic Subdivision, Department of Pediatric, Faculty of Medicine, Andalas University, Indonesia
2Pediatric Surgery Subdivision, Department of Surgery, Faculty of Medicine, Andalas University, Indonesia
Corresponding Author: Addina Irawan
ABSTRACT
Background: Cholelithiasis is a condition in which rare in children but in recent years has been increasing due to ultrasound used. This problem associated to inflammation, infection, obesity, children who received long total parenteral nutrition, resection of bowel, chronic liver disease or genetic. Most of cholelithiasis in children are asymptomatic. Gallstones are divided into cholesterol stones and pigment stones, could be on lucent or opaque description in abdominal x-ray. There are no special guidelines defined indications for medical or surgical treatment in children with cholelithiasis.
Case Presentation: A 7 years 2 months old boy complaint of abdominal pain getting worse since 6 hours before admission; colicky pain, does not spread to other region of abdominal, and especially after eating. Vomit was frequently after eating. Symptoms are repeated for 3 times hospitalization and established as acute pancreatitis in second hospitalization but confirmed as cholelithiasis in recent admission. Conclusion: cholelithiasis in children could be related to inflammation and/ or infection of organs around the gallbladder.
Keywords: Cholelithiasis, acute pancreatitis, chronic cholecystitis, case report.
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