CHANGING SPECTRUM OF GALLSTONE DISEASE: AN EXPERIENCE OF 23 CASES LESS THAN 10 YEARS OF AGE

AM Malik, A Khan, U Sheikh, S Sheikh, AA Laghari, KA Talpur

Abstract


Background: An overall increase in the incidence of paediatric cholelithiasis forms the basis of this
study, which aims to investigate the overall changing clinical pattern of cholelithiasis. Methods:
This is a retrospective observational descriptive study including twenty three (23) patients with
gallstones admitted and operated during June 2006–June 2008 in surgical department of a teaching
hospital. All the patients with sonological evidence of gallstones, less than 10 years of age with
history of acute or chronic abdominal symptoms are included in the study population. After
admission all the subjects were investigated and finally operated by open approach (21 patients)
during the same admission. The details of all the patients were recorded on a proforma and statistical
analysis done on SPSS version 12. Results: Of the total study population, there were 19 (82.6 %)
males and 4 (17.39%) females with a mean age of 7 years and a range of 4–10 years. Ultrasound
revealed gallstones in all the patients with a varying proportion of the walls of gallbladder. The
commonest presentation was abdominal pain in the right upper quadrant, which was vague, and of
mild to moderate intensity. In 21 (91.30%) patients, no specific underlying cause was found while
two patients (8.6%) had haematological disorder as underlying cause for the gallstones. Conclusion:
This study indicates an alarming increase in the incidence of idiopathic gallstones in children less
than 10 years of age with a distinct male predominance.
Keywords: Cholelithiasis, children, idiopathic gallstones, Haematological disorders.

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