September 1980

Hydrops of the Gallbladder

Author Affiliations

Department of Pediatrics Division of Neonatology; Department of Pediatrics Division of Infectious Diseases Stanford University Medical Center Stanford, CA 94305

Am J Dis Child. 1980;134(9):891-893. doi:10.1001/archpedi.1980.02130210071020

Hydrops of the gallbladder is an uncommon problem in infants and children. Most cases of hydrops of the gallbladder previously reported are seen as a complication of other illnesses, such as upper respiratory tract infections, salmonellosis, cervical adenitis, and pseudomonas sepsis in children with severe burns and diarrhea. Hydrops has also been associated with systemic infections caused by leptospirosis and group A streptococcal infection as scarlet fever.1-3 We report a neonate with group B streptococcal sepsis and pneumonia in whom gallbladder hydrops developed that completely resolved without further complications after seven days of antibiotic therapy. Fig 1.—Plain film of abdomen showing soft-tissue mass density (arrow) extending caudad from liver edge in right upper abdominal quadrant.

Report of a Case.—The patient is a 3,240-g, term male infant born to a 34-year-old mother after an uncomplicated pregnancy and delivery. At 8 hours of age, progressive respiratory distress, fever to 40