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October 1959

Acute Noncalcareous Cholecystitis with Associated Mesenteric Adenitis in a Child

Author Affiliations

Miami, Fla.
Clinical Instructor, Department of Surgery, University of Miami School of Medicine (Dr. Lary).

AMA Arch Surg. 1959;79(4):605-606. doi:10.1001/archsurg.1959.04320100071012

Cholecystitis in children is an uncommon disease. Less than 400 proved cases have been reported in the literature.1 The following case report is of interest, in that acute noncalcareous cholecystitis in a 9-year-old girl was associated with a mesenteric adenitis.

Report of Case  On July 17, 1957, the patient was admitted to Mercy Hospital with the diagnosis of acute abdomen, most likely appendicitis. Laboratory and Physical findings revealed a white blood count of 12,500, and a differential count as follows: lymphocytes 26; monocytes 2; polymorphonuclears 72; hemoglobin 13.0 gm., 28%. Urinalysis was negative except for acetone, which was 3+. The temperature was 102 F rectally. There was exquisite tenderness throughout the whole right abdomen with rebound and rigidity to palpation.Under general anesthesia a right lower quadrant muscle-splitting incision was made, and the peritoneal cavity entered. The appendix was found to be normal. There were multiple mesenteric nodes, and