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October 20, 1962

Cholecystitis and Cholelithiasis Associated with Pancreatitis in a Child

Author Affiliations

Miami, Fla.

JAMA. 1962;182(3):302-303. doi:10.1001/jama.1962.03050420078022c

A BDOMINAL PAIN in the child, especially recurrent pain, is often a perplexing problem. Conway found a cause for chronic abdominal pain in only 5% of a series of 243 infants and children. Upper abdominal pain in adults, and especially when on the right side, suggests cholecystitis as one of the main differential diagnoses. Because primary gallbladder disease is rare in childhood, its diagnosis usually follows surgical intervention. When jaundice is present, hepatitis is often the presumptive consideration. The following case, in which the preoperative diagnosis of cholelithiasis, with probable choledocholithiasis and pancreatitis was correctly made, is presented as another reminder of this rare cause of abdominal pain in children.

Report of a Case

A 10-year-old white girl, weighing 135 lb. (61.3 kg.), was first admitted to the Baptist Hospital on Dec. 25, 1961, with sharp, lower abdominal pain, mainly on the right, accompanied by nausea and vomiting of 12