Acalculous cholecystitis in Nigerian children
| Autor: | D. Iya, B. T. Ugwu, V. M. Ramyil, A. F. Uba, A Z Sule, L. B. Chirdan |
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| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Nigeria Gastroenterology Internal medicine Laparotomy Pediatric surgery Cholecystitis medicine Humans Cholecystectomy Child Retrospective Studies Gangrene business.industry General Medicine medicine.disease Empyema Surgery Treatment Outcome medicine.anatomical_structure El Niño Pediatrics Perinatology and Child Health Cystic duct Female business |
| Zdroj: | Pediatric Surgery International. 19:65-67 |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-002-0826-z |
| Popis: | Sixteen children with acalculous cholecystitis (AC) were treated over a 9-year period (13 male and 3 female). Their ages ranged from 8 to 18 years (median 11). Eight (50%) presented with complications (perforation 4, gangrene 2, empyema 2); 13 (80%) presented with acute AC with a duration of symptoms of 2 weeks or less while 3 (20%) presented with chronic AC with symptoms present for more than 3 months. The diagnosis was made by ultrasound except in the patients with complications, who were diagnosed at laparotomy. Salmonella typhi was cultured in the bile and blood in 2 cases and the Widal titre was significantly elevated in 4 others. One child had chronic blockage of the cystic duct by a lymph node; in 9 there was no identifiable cause. Open cholecystectomy was successfully performed in 15 cases, while 1 child was managed non-operatively. The need for early diagnosis of cholecystitis in children is obvious if the potentially life-threatening complications of perforation and gangrene are to be avoided. |
| Databáze: | OpenAIRE |
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