Abdominal distention and shock in an infant

Carubelli, Cecilia; Abramo, Thomas J.

doi:10.1016/s0735-6757(99)90081-5

Cited by 11 publications

(18 citation statements)

References 3 publications

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“…15,16,17,18,19 Preoperative diagnosis of peritonitis caused by biliary perforation is a difficult one, some studies highlighted a few cases where a preoperative diagnosis was made feasible. 20,21,22,23 However in our eleven patients of case series four patients diagnose with preoperatively perforated appendicitis and seven were enteric perforation. All out to be enteric gallbladder perforation.…”

Section: Resultsmentioning

confidence: 74%

A Rare Complication of Typhoid Fever: Perforated Gallbladder in Children

Ahmed¹,

Akbar²,

Qureshi³

et al. 2023

PJMHS

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Background: Gall bladder perforation is a rare complication in the pediatric age group secondary to enteric fever and a definitive diagnosis is necessary to deal with the management. Preoperative diagnosis of gallbladder perforation is challenging and demanding in most cases diagnosed intraoperatively. Our study aims to evaluate the pattern of presentation, investigation, and complication. Methods: A descriptive case series was carried out in our pediatric department of surgery at Liaquat University Hospital Hyderabad Sindh Pakistan from January 2016 to December 2021. Data were analyzed regarding age, clinical presentation, investigation, surgical procedure, site of perforation, complication, and outcome. Results: Eleven patients were managed in five years. The patient's ages ranged from 6 years to 12 years old child of 9.19 years was the mean age of presentation. The fundus and body was the commonest site of perforation and was diagnosed intraoperatively. The presenting feature was fever, abdominal pain with distension, vomiting, constipation, and a sign of peritonism. The gallbladder perforation was managed by cholecystectomy in 10 patients and partial in one due to difficult dissection. In our series, zero mortality, and all eleven patients were symptom-free in the postoperative outpatient department clinic. Conclusion: In Perforated gallbladder patients early and aggressive management improves mortality and morbidity but represents a special diagnostic and surgical challenge. Keywords: Typhoid Fever, Perforated Gallbladder, Acalculous Cholecystitis.

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Section: Resultsmentioning

confidence: 74%

A Rare Complication of Typhoid Fever: Perforated Gallbladder in Children

Ahmed¹,

Akbar²,

Qureshi³

et al. 2023

PJMHS

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“…Various studies depicted only a few cases in which pre-operative diagnosis was possible. [5,[19][20][21] In our study, we suspected biliary perforation in only one out of eight patients. In most of cases, our pre-operative diagnosis was secondary peritonitis due to perforated appendicitis.…”

Section: Discussionmentioning

confidence: 80%

“…Abdominal ultrasound, CT scan, MRI and radionuclide scans are important tools in the diagnosis. [5,[19][20][21] However, operation should not be unduly delayed due to unavailability of these diagnostic tools if there are established features of generalised peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Management of biliary perforation in children

Mirza¹,

Ijaz²,

Saleem³

et al. 2010

Afr J Paediatr Surg

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“…Although uncommon, SPBD is frequently cited as the second most common indication for jaundice requiring surgical intervention in infancy (2,3,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Since the initial description by Dijkstra (1) in 1932, there have been approximately 150 cases described in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Less commonly, the presentation is that of an acute surgical abdomen. The typical age of patients with SPBD is between 2 and 20 weeks, although the age range varies from birth to 7 years (2,3,(5)(6)(7)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Although the etiology is often unknown, distal biliary obstruction from either a stone or stricture is a postulated mechanism.…”

Section: Introductionmentioning

confidence: 99%