[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
January 1980

Cholelithiasis and Cholecystitis in Children After Repair of Congenital Duodenal Anomalies

Author Affiliations

From the Department of General Surgery, the Cleveland Clinic Foundation (Drs Tchirkow and Highman), and the Department of Surgery, Children's Medical Center, Dayton, Ohio (Dr Shafer).

Arch Surg. 1980;115(1):85-86. doi:10.1001/archsurg.1980.01380010071016
Abstract

• Duodenal surgery, particularly the correction of duodenal anomalies, may be associated with an increased incidence of subsequent cholelithiasis and cholecystitis in children. We review the case histories of two children. Each child experienced acute cholecystitis with gallstones nine years after the correction of duodenal anomalies (annular pancreas, duodenal stenosis) in the neonatal period. At reoperation, intense fibrosis was noted in the hepatoduodenal area, while cholangiography demonstrated abnormalities of the common hepatic and common bile ducts. These cases suggest that the correction of duodenal anomalies may favor the subsequent development of gallstones in children. Fibrosis may have compressed the common bile duct, with stasis permitting gallstone formation. Intrinsic bile duct abnormalities, which may accompany duodenal anomalies, could also play a role. Thus, a history of previous duodenal surgery in a child with abdominal pain may strengthen a tentative diagnosis of cholecystitis. Also, at the time of exploration, the surgeon should be alert to the possibility of biliary tract abnormalities.

(Arch Surg 115:85-86, 1980)

References
1.
Pieritti R, Auldist AW, Stephens CA:  Acute cholecystitis in children . Surg Gynecol Obstet 140:16-18, 1975.
2.
Harned RK, Babbitt DP:  Cholelithiasis in children . Radiology 117:391-393, 1975.Article
3.
Holt RW:  Cholelithiasis after mitral valve replacement in a teenager . South Med J 70:1135, 1977.Article
4.
Strauss RG:  Cholelithiasis in childhood . Am J Dis Child 117:689-692, 1969.
5.
Walker CHM:  Aetiology of cholelithiasis in childhood . Arch Dis Child 32:293-297, 1955.Article
6.
Moossa AR:  Cholelithiasis in childhood . J R Coll Surg Edinb 18:179-181, 1977.
7.
Grace N, Rodgers B:  Cholecystitis in childhood . Clin Pediatr 16:179-181, 1977.Article
8.
Robinson AE, Erwin JH, Siweman HJ, et al:  Cholecystitis and hydrops of the gallbladder in the newborn . Radiology 122:749-751, 1977.Article
9.
Forshall I, Rickham PP:  Cholecystitis and cholelithiasis in childhood . Br J Surg 42:161-164, 1954.Article
10.
Soderlund S, Zetterstrom B:  Cholecystitis and cholelithiasis in children . Arch Dis Child 37:174-180, 1962.Article
11.
Haff RC, Andrassy RJ, Legrand DR, et al:  Gallbladder disease in the young male . Am J Surg 131:232-234, 1976.Article
12.
Jona JZ, Belin RP:  Duodenal abnormalities and the ampulla of Vater . Surg Gynecol Obstet 143:565-569, 1976.
×