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July 1956

Gallstones in Children: Report of Four Cases

Author Affiliations

From the Department of Radiology, Milwaukee Children's Hospital.

AMA Am J Dis Child. 1956;92(1):5-8. doi:10.1001/archpedi.1956.02060030007003

The occurrence of cholelithiasis in childhood is rare. However, in patients with unexplained abdominal pain or jaundice it should not be forgotten in the differential diagnosis, particularly since the accurate diagnosis by cholecystography is simple and the surgical results are excellent. The presence of jaundice is far more commonly due to hepatocellular disease in children, but the possibility of cholecystitis, with or without cholelithiasis, should be kept in mind.

Diagnosis  It may be possible to demonstrate calcified stones in the gall-bladder region by using posteroanterior, oblique, and lateral projections.Harris and Caffey1 reported that the results of cholecystography using iodopanoic acid (Tel[ill]paque) were excellent in children more than 11 months of age. The usual dosage of iopanoic acid (Telepaque) was 0.15 gm. per kilogram of body weight in younger children. In older children 4 to 6 tablets were given the evening before with fat-free meal followed by filming in