Gallstones in children are most commonly asymptomatic (“silent,” up to 50%). Silent gallstones present coincidentally on abdominal ultrasounds of infants and young children.
When sympt...
Asymptomatic gallstones should only be observed.
Gallstones should be removed in children who are dependent on TPN and in patients with short bowel syndrome, pseudo-obstructio...
Asymptomatic patients: Monitor for onset of symptoms; no use for repeat imaging or labs unless symptomatic
Symptomatic patients: Consider cholecy...
Bogue CO, Murphy AJ, Gerstle JT, et al. Risk factors, complications, and outcomes of gallstones in children: a single-center review. J Pediatr Gastroenterol Nutr. 2010;50(3):3...
574.2 Calculus of gallbladder without mention of cholecystitis, without mention of obstruction
574.21 Calculus of gallbladder without mention of cholecystitis, with obstruction
574 Calculus of...
Q: Does my child with CF have a greater risk for gallstones?
A: Yes. Children with CF may have more frequent development of gallstones than children without CF. Reports of gallstones while on UDCA ...
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FIGURE 36.14 Examples of cholesterol gallstones (left) made up of a coalescence of multiple small stones (left) and pigment gallstones (right) composed of calcium bilirubinate.
FIGURE 36.14 Examples of cholesterol gallstones (left) made up of a coalescence of multiple small stones (left) and pigment gallstones (r...
Figure 128.4. Gallstone: There is a hyperechoic stone (large arrow) in the dependent portion of the gallbladder, with a posterior shadow (small arrow). There is no thickening of the gallbladder wall or fluid around the gallbladder.
Figure 128.4. Gallstone: There is a hyperechoic stone (large arrow) in the dependent portion of the gallbladder, with a posterior shadow ...
Gallstones
<bold>FIGURE 40-2.</bold> Examples of cholesterol gallstones (<italic>left</bold>) made up of a coalescence of multiple small stones and pigment gallstones (<italic>right</bold>) composed of calcium bilirubinate.
<bold>FIGURE 40-2.</bold> Examples of cholesterol gallstones (<italic>left</bold>) made up of a coalescence of mu...
<bold><italic>Figure 16-23</bold> Cholelithiasis (cholesterol gallstones) and chronic cholecystitis.</bold> Normally gallbladder mucosa is green because of staining by normal bile. In this patient cholesterol deposits caused a bright yellow coloration. Microscopic study of the gallbladder wall revealed chronic inflammation.
<bold><italic>Figure 16-23</bold> Cholelithiasis (cholesterol gallstones) and chronic cholecystitis.</bold> Normal...