Journal of Progressive Medicine and Health Care

Abstract

Gall stones, stones in the gall balder or cholidocholilitiasis, and hepatobiliary tract ducts are rare to experience during surgical or medical experience but can still occur. Even symptomatic cholelithiasis is rarely encountered and treated surgically. The aetiology, risk factors, pathology, presentations, recommendation of workup, and treatment protocols vary among adults who commonly develop these problems. Therefore, there are still standardised management protocols for paediatric cholelithiasis.

We evaluated one case of an old female child who presented to our hospital with symptomatic cholelithiasis and reviewed the patient’s presentation, management, outcome, and available data.

Results: Her symptoms improved after surgery and cholecystectomy; in contrast to adults, for whom guidelines on cholelithiasis treatment exist, there is no consistent treatment of paediatric patients with cholelithiasis throughout national and international departments, most probably due to the lack of evidence-based studies.

Conclusions: The management of paediatric cholelithiasis differs between hospitals and paediatricians and paediatric surgeons. Evidence-based large-scale population studies, as well as common guidelines, may represent very important tools for treating this increasing number of diagnoses.