Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis.

Michael Gertner, Diana L Farmer

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the infant underwent laparoscopic cholecystectomy with an intraoperative cholangiogram. The patient did well postoperatively and was on regular feeding by postoperative day 1. An intraoperative cholangiogram showed an impacted stone in the infidibulum of the gallbladder. Gross and histopathologic findings indicated chronic cholecystitis. Based on an extensive review of the literature, this case appears to be the first reported incidence of chronic cholecystitis in a neonate and that of the youngest patient to undergo a laparoscopic cholecystectomy with intraoperative cholangiogram.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
Volume39
Issue number1
StatePublished - Jan 2004

Fingerprint

Cholecystitis
Cholelithiasis
Laparoscopic Cholecystectomy
Gallstones
Gallbladder
Dilatation
Newborn Infant
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis. / Gertner, Michael; Farmer, Diana L.

In: Journal of Pediatric Surgery, Vol. 39, No. 1, 01.2004.

Research output: Contribution to journalArticle

@article{028b345439c044bf9c7f50243e2ac4d6,
title = "Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis.",
abstract = "A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the infant underwent laparoscopic cholecystectomy with an intraoperative cholangiogram. The patient did well postoperatively and was on regular feeding by postoperative day 1. An intraoperative cholangiogram showed an impacted stone in the infidibulum of the gallbladder. Gross and histopathologic findings indicated chronic cholecystitis. Based on an extensive review of the literature, this case appears to be the first reported incidence of chronic cholecystitis in a neonate and that of the youngest patient to undergo a laparoscopic cholecystectomy with intraoperative cholangiogram.",
author = "Michael Gertner and Farmer, {Diana L}",
year = "2004",
month = "1",
language = "English (US)",
volume = "39",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Laparoscopic cholecystecomy in a 16-day-old infant with chronic cholelithiasis.

AU - Gertner, Michael

AU - Farmer, Diana L

PY - 2004/1

Y1 - 2004/1

N2 - A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the infant underwent laparoscopic cholecystectomy with an intraoperative cholangiogram. The patient did well postoperatively and was on regular feeding by postoperative day 1. An intraoperative cholangiogram showed an impacted stone in the infidibulum of the gallbladder. Gross and histopathologic findings indicated chronic cholecystitis. Based on an extensive review of the literature, this case appears to be the first reported incidence of chronic cholecystitis in a neonate and that of the youngest patient to undergo a laparoscopic cholecystectomy with intraoperative cholangiogram.

AB - A 16-day-old girl with demonstrated evidence of cholelithiasis was treated initially conservatively on the assumption that the gallstone would resolve spontaneously. However, when repeat ultrasound scan showed a large gallstone and intrahepatic ductal dilatation indicative of antenatal common duct obstruction, the infant underwent laparoscopic cholecystectomy with an intraoperative cholangiogram. The patient did well postoperatively and was on regular feeding by postoperative day 1. An intraoperative cholangiogram showed an impacted stone in the infidibulum of the gallbladder. Gross and histopathologic findings indicated chronic cholecystitis. Based on an extensive review of the literature, this case appears to be the first reported incidence of chronic cholecystitis in a neonate and that of the youngest patient to undergo a laparoscopic cholecystectomy with intraoperative cholangiogram.

UR - http://www.scopus.com/inward/record.url?scp=1542682510&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1542682510&partnerID=8YFLogxK

M3 - Article

C2 - 14694400

AN - SCOPUS:1542682510

VL - 39

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 1

ER -