%0 Journal Article
%T Acute Alithiasis Cholecystitis in Children: Diagnostic and Therapeutic Approach in the Pediatric Surgery Department of the CHU of Conakry
%A Balla Keita
%A Mamadou Alpha Toure
%A Mohamed Lamine Sadou Sacko
%A Thierno Saidou Barry
%A Mohamed Lamine Diallo
%A Mamadou Madiou Barry
%A Daniel Agbo-Panzo
%J Open Journal of Pediatrics
%P 86-91
%@ 2160-8776
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojped.2023.131011
%X Acute
alithiasic cholecystitis (AAC) is the inflammatory disease of the gallbladder
in the absence of gallstones. It is a rare pathology in children. The aim was
to describe the clinical, diagnostic and therapeutic characteristics of this
disease. <b><span style=\"font-family:Verdana;\">Materials and Method:</span></b><span style=\"font-family:Verdana;\"> This was a 3-year retrospective study
(January 2008 to December 2010) including 66 patient records collected for CAA. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> The frequency of AAC was 3.57%, the mean age of the patients
was 8</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">¡À 3.52
years, and there were 36 boys and 30 girls. The main clinical features were
right hypochondrial pain (66 cases), positive Murphy¡¯s (66 cases), fever (53
cases) and jaundice or sub-jaundice (51 cases). The main ultrasound signs were
thickened vesicular wall 50</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">cas
(75.76%), vesicular distension 50cas (75.76%) and positive ultrasound Murphy 47</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">cas (71.21%). Medical
treatment was exclusive in 64 patients (96.97%) and surgical treatment in 2
patients (3.03%). </span><b><span style=\"font-family:Verdana;\">Conclusion:</span></b><span style=\"font-family:Verdana;\"> Acute alithiasic cholecystitis is a rare
pathology in children, the clinical picture is not very specific and abdominal
ultrasound is the key to early diagnosis. Conservative treatment is the first
choice in the absence of any complication</span></span><span style=\"font-family:Verdana;\">s</span><span style=\"font-family:Verdana;\">.</span>
%K Acute Alithiasic Cholecystitis
%K Children
%K Medical Treatment
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=122368