Gallstone in Children: A Retrospective Study of 37 Cases in Southeast of Turkey

Yasin Sahin; Derya Aydin Sahin; Ferhan Bulut; Asli Imran Turkut; Ahmet Rauf Goktepe

Volume : III, Issue : IX, September - 2014

Gallstone in Children: A Retrospective Study of 37 Cases in Southeast of Turkey

Yasin Sahin, Derya Aydin Sahin, Ferhan Bulut, Asli Imran Turkut, Ahmet Rauf Goktepe

Abstract :

Aims: To evaluate the children diagnosed with cholelithiasis in clinical retrospective study. Materials and Methods: The children who were treated and diagnosed with gallstones in our clinic were analyzed retrospectively between May 2013–April 2014. Results: A total of 37 cases, 20 males and 17 females (54%, 46% respectively). The mean age was 116.4 � 61.5 months. Predisposing factors in patients were ceftriaxone usage history, obesity, hemolytic diseases, insulin resistance, hypertriglyceridemia, cystic fiosis and a history of premature birth and parenteral nutrition. Eleven patients (29.7%) had no risk factors. Gallstone resolution was detected in 11 patients (29.7%) treated with ursodeoxycholic acid. Resolution was observed in 33.3% of children with ceftriaxone–associated gallstone. Conclusion: Due to the frequent use of ultrasonography and increased incidence of obesity, gallstones have been increased in children recently. An underlying risk factors were not detected in the majority of our cases (29.7%). Especially patients who had risk factors should be monitored closely for signs and complications.