Rodas-Andino JF, Martínez-Quiroz RA

Language: Spanish
References: 13
Page: 95-97
PDF size: 231.02 Kb.

ABSTRACT

Cholelithiasis is a relatively rare disease in children, but it is found more often in patients with predisposing disorders. It is rare to see it before adolescence and it is asymptomatic, reaching a prevalence of 0.5 % (according to Spanish authors) and up to 1.9% (according to American authors). There are few reported cases. Case presentation: Full-term female 17-hour-old newborn; she was moved from a regional hospital for exchange transfusion because of generalized jaundice (Kramer V). Hyperbilirubinemia at the expense of direct bilirubin was reported; an abdominal ultrasound reported cholelithiasis. Conservative management was given with choleretics, and the patient evolved favourably. Conclusions: Neonatal cholelithiasis is rare; its clinical manifestations are varied and nonspecific. Unlike in children and adolescents, its management in newborns is nonsurgical in most cases.

REFERENCES

1. Suchy FJ. Enfermedades de la vesícula biliar. En: Kliegman RM, Jenson HB, Behrman RE, Stanton BF. Nelson. Tratado de pediatría. 18.a ed. Barcelona: Elsevier; 2009. pp. 1707-1709.

2. Pérez LC, Moreno FA, Pérez VC. Asociación de vesícula multiseptada y colelitiasis en una recién nacida con síndrome de Down. Rev Esp Pediatr. 2012; 68(3): 223-225.

3. Wesdorp I, Bosman D, de Graaff A, Aronson D, van der Blij F, Taminiau J. Clinical presentations and predisposing factors of cholelithiasis and sludge in children. J Pediatr Gastroenterol Nutr. 2000; 31(4): 411-417.

4. Harris DP, Chateau IB, Miquel PJ. Litiasis biliar pediátrica en una población de alta prevalencia. Rev Chil Pediatr. 2007; 78(5): 511-518.

5. Troyano-Luque J, Padilla-Pérez A, Martínez-Wallin I, Alvarez de la Rosa M, Mastrolia SA et al. Case report short and long term outcomes associated with fetal cholelithiasis: a report of two cases with antenatal diagnosis and postnatal follow-up. Case Rep Obstet Gynecol. 2014; 2014: 714271.

6. Almora CC, Arteaga PY, Plaza GT, Prieto FY, Hernández HZ. Diagnóstico clínico y epidemiológico de la litiasis vesicular. Revisión bibliográfica. Rev Ciencias Médicas. 2012; 16(1): 200-214.

7. Mazzi EG. Hiperbilirrubinemia neonatal. Rev Bol Ped. 2005; 44(1): 26-35.

8. Guyton AC. El hígado como órgano. En: Bonet Serra B. Tratado de Fisiología medica Guyton y Hall. 12.a ed. Barcelona: Elsevier; 2011. p. 837-842.

9. Dooki MR, Norouzi A. Cholelithiasis in childhood: a cohort study in north of Iran. Iran J Pediatr. 2013; 23(5): 588-592.

10. Jiménez-Urueta PS, Ponce-Rosas A, Sánchez-Michaca VJ, González-Mora E, Castañeda-Ortiz RA. Colelitiasis en neonato prematuro. ¿Colecistectomía o manejo conservador? Acta Pediatr Mex. 2007; 28(3):104-106.

11. Lieem NT, Holcomb GW. Choledochal cyst and Gallbladder disease. En: Holcomb GW, Murphy JP, Ostlie DJ, St. Peter SD. Ashcraft’s pediatric surgery. 6th ed. New York: Elsevier; 2014. pp. 593-606.

12. Cozcolluela CM, Sanz SL, Martínez-Berganza AM, Gómez HH, Mellado SJ, Miranda OL et al. Colelitiasis en la infancia en un Hospital de Área. An Pediatr (Barc). 2007; 66(6): 611-614.

13. Poffenberger CM, Gausche-Hill M, Ngai S, Myers A, Renslo R. Cholelithiasis and its complications in children and adolescents. Pediatr Emer Care. 2012; 28(1): 68-79.