Acalculous cholecystitis in children

Tsakayannis, Dimitris; Kozakewich, Harry P.; Lillehei, C. Walton

doi:10.1016/s0022-3468(96)90334-6

Cited by 106 publications

(100 citation statements)

References 16 publications

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“…Çocuklarda akut kolesistit olgularının %50-70'sini ATK oluşturmaktadır (8). Gangren, perforasyon ve ampiyem gibi komplikasyonlara sebep olduğu için yüksek mortalite ve morbiditeye neden olur (9).…”

Section: Discussionunclassified

“…Gangren, perforasyon ve ampiyem gibi komplikasyonlara sebep olduğu için yüksek mortalite ve morbiditeye neden olur (9). Çocuklarda sepsis, şok, uzamış açlık, total parenteral nutrisyon, çoklu kan transfüzyonu ATK gelişimi için risk faktörüdür (8). Ayrıca endemik bölgelerde kızamık, tifo, leptospirozis, Taeniasaginata ve Ascarislumbricoides gibi enfeksiyonlara ikincil olarak oluşabilir(10-12).…”

Section: Discussionunclassified

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Akut Viral Hepatit A Enfeksiyonuna Bagli Gelisen Akut Tassiz Kolesistit: Iki Olgu Sunumu

2017

GMJ

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ÖZETAkut taşsız kolesistit (ATK), taş ve safra çamuru olmaksızın safra kesesinin enflamasyonudur. Gangren, perforasyon ve ampiyem gibi komplikasyonlara sebep olduğu için yüksek mortalite ve morbidite ile ilişkilidir. Altta yatan hastalığa göre medikal veya cerrahi tedavi uygulanabilir. Çocuklarda sepsis, şok, uzamış açlık, total parenteral nutrisyon, çoklu kan transfüzyonu ATK gelişimi için en önemli risk faktörleridir. Ayrıca akut viral hepatitlerin nadir bir komplikasyonu olarak ATK gelişebilir. Bu yazıda hepatit A virüs enfeksiyonu sonucu akut kolesistit gelişen ve destekleyici tedaviyle tamamen düzelen iki olgu sunulacaktır. ABSTRACTAcute acalculous cholecystitis (AAC) is defined as the inflammation of the bile duct without stone or biliary sludge. It is associated with high mortality and morbidity since it may lead to complications such as gangrene, perforation and empyema. According to the underlying cause, medical or surgical treatment is performed. The most important risk factors for the development of AAC in children are sepsis, shock, prolonged fasting, total parenteral nutrition and multiple blood transfusions. Acute acalculouscholecystitis also can occur as a rare complication of acute viral hepatitis. This report describes acute cholecystitis in two cases which developed as a result of hepatitis A virüs infection and resolved completely with supportive management.

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Section: Discussionunclassified

Akut Viral Hepatit A Enfeksiyonuna Bagli Gelisen Akut Tassiz Kolesistit: Iki Olgu Sunumu

2017

GMJ

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“…Acute cholecystitis is uncommon in children and adolescents, and it is usually associated with biliary stones. Acute AC comprises 2-17% of acute cholecystitis in adults, whereas 30-50% in children 6) . Acute AC occurs more frequently in some clinical conditions, such as post-operative state, blunt abdominal trauma, systemic illness (Kawasaki disease, periarteritis nodosa, cystic fibrosis, leukemia, hemolytic-uremic syndrome), and infections [6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…Acute AC comprises 2-17% of acute cholecystitis in adults, whereas 30-50% in children 6) . Acute AC occurs more frequently in some clinical conditions, such as post-operative state, blunt abdominal trauma, systemic illness (Kawasaki disease, periarteritis nodosa, cystic fibrosis, leukemia, hemolytic-uremic syndrome), and infections [6][7][8] . The development of acute AC is associated with several risk factors, such as prolonged fasting, total parenteral nutrition, shock, intravenous narcotics, and multiple transfusions 6) .…”

Section: Discussionmentioning

confidence: 99%

“…Acute AC occurs more frequently in some clinical conditions, such as post-operative state, blunt abdominal trauma, systemic illness (Kawasaki disease, periarteritis nodosa, cystic fibrosis, leukemia, hemolytic-uremic syndrome), and infections [6][7][8] . The development of acute AC is associated with several risk factors, such as prolonged fasting, total parenteral nutrition, shock, intravenous narcotics, and multiple transfusions 6) . In this case, we did an abdominal ultrasonography and CT scan with a suspicion of hepatobiliary disease based on the patient s symptoms and labo ' -ratory findings, and he was diagnosed with acute AC.…”

Section: Discussionmentioning

confidence: 99%

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