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September 15, 1934


Author Affiliations

From the Department of Pediatrics and Surgery, University of Nebraska College of Medicine.

JAMA. 1934;103(11):829-830. doi:10.1001/jama.1934.72750370001010

A case report of cholecystitis with cholelithiasis in a boy, aged 8 years, is here recorded to stress the necessity of consideration of lesions of the gallbladder in the differential diagnosis of abdominal disease in children. It is probable that pathologic changes in the preadolescent gallbladder are not as rare as clinical and postmortem records indicate. For this reason and for the reason that many of these cases present long and indefinite antecedent histories, we believe that children who have indefinite abdominal symptoms of epigastric pain and indigestion should be investigated more frequently with such diagnostic aids as cholecystography.

In 1928 Potter1 reported four personal cases of gallbladder disease in children 4 ½, 6, 11 and 15 years of age, and he supplemented the report with a review of the literature. He was able to collect 226 cases in which the ages were less than 15 years, as follows: fetuses 2,

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