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2012, Number 3

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Rev Mex Pediatr 2012; 79 (3)

Surgical laparoscopy in a child with hidrocolecisto

Weber SA, Elizundia CF, Weber ÁP, Garteiz MD

Language: Spanish
References: 21
Page: 133-136
PDF size: 127.90 Kb.


ABSTRACT

Hydrops of the gallbladder is rare anatomoclinical variety of cholecystitis in children. Usually its clinical presentation includes abdominal pain on the upper right quadrant, general abdominal tenderness, vomit, palpable mass and fever. Predominates in male patients, and it can appear from birth to adolescence. Ultrasound is the method of choice for its study and usually confirms the diagnosis. The treatment is usually medical, but when surgery is required, laparoscopic cholecystectomy is a good choice for its safety and good results for decrease the neuroendocrine response to surgical trauma, pain, patient and family fear to the surgical procedure, earlier resumption to oral feeding, earlier postoperative recovery and decrease of hospital stay. In 2005 we reported a case of a preschool with hydrops treated by laparoscopy, and in this paper we report another case also successfully treated by laparoscopy but distinct because of the singular medical history of the patient having the hydrops as an immediate complication of ureteral reimplantation.


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