TITLE:
Acute Alithiasis Cholecystitis in Children: Diagnostic and Therapeutic Approach in the Pediatric Surgery Department of the CHU of Conakry
AUTHORS:
Balla Keita, Mamadou Alpha Toure, Mohamed Lamine Sadou Sacko, Thierno Saidou Barry, Mohamed Lamine Diallo, Mamadou Madiou Barry, Daniel Agbo-Panzo
KEYWORDS:
Acute Alithiasic Cholecystitis, Children, Medical Treatment
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.1,
January
12,
2023
ABSTRACT: Acute
alithiasic cholecystitis (AAC) is the inflammatory disease of the gallbladder
in the absence of gallstones. It is a rare pathology in children. The aim was
to describe the clinical, diagnostic and therapeutic characteristics of this
disease. Materials and Method: This was a 3-year retrospective study
(January 2008 to December 2010) including 66 patient records collected for CAA. Results: The frequency of AAC was 3.57%, the mean age of the patients
was 8 ± 3.52
years, and there were 36 boys and 30 girls. The main clinical features were
right hypochondrial pain (66 cases), positive Murphy’s (66 cases), fever (53
cases) and jaundice or sub-jaundice (51 cases). The main ultrasound signs were
thickened vesicular wall 50 cas
(75.76%), vesicular distension 50cas (75.76%) and positive ultrasound Murphy 47 cas (71.21%). Medical
treatment was exclusive in 64 patients (96.97%) and surgical treatment in 2
patients (3.03%). Conclusion: Acute alithiasic cholecystitis is a rare
pathology in children, the clinical picture is not very specific and abdominal
ultrasound is the key to early diagnosis. Conservative treatment is the first
choice in the absence of any complications.