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February 7, 1977

Cholelithiasis in Young People

Author Affiliations

University of Nebraska Medical Center Omaha

JAMA. 1977;237(6):529. doi:10.1001/jama.1977.03270330019002

To the Editor.—  We read with interest the article by Dr Goodman regarding cholelithiasis in persons under 25 years old (236:1731, 1976).A similar study performed by Babbitt and me yielded basically the same results.1 We reviewed 367 cases of cholelithiasis in children from the literature and our own experience and found that 81% had no evidence of a hemolytic anemia. The age range was from 3 months to 15 years, with 70% of the patients being female. The pain associated with cholelithiasis in children was most often mistaken for acute appendicitis. Oral cholecystography was diagnostic of cholelithiasis in 70% of the cases. We also found that plain roentgenograms of the abdomen were of more value in children than in adults for establishing the diagnosis of cholelithiasis, since 50% of these children had opaque gallstones visible on plain abdominal films. Dr Goodman's study reinforces our impression that cholelithiasis in