CHANGING SPECTRUM OF GALLSTONE DISEASE: AN EXPERIENCE OF 23 CASES LESS THAN 10 YEARS OF AGE
AbstractBackground: An overall increase in the incidence of paediatric cholelithiasis forms the basis of thisstudy, which aims to investigate the overall changing clinical pattern of cholelithiasis. Methods:This is a retrospective observational descriptive study including twenty three (23) patients withgallstones admitted and operated during June 2006–June 2008 in surgical department of a teachinghospital. All the patients with sonological evidence of gallstones, less than 10 years of age withhistory of acute or chronic abdominal symptoms are included in the study population. Afteradmission 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 statisticalanalysis 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. Ultrasoundrevealed gallstones in all the patients with a varying proportion of the walls of gallbladder. Thecommonest presentation was abdominal pain in the right upper quadrant, which was vague, and ofmild to moderate intensity. In 21 (91.30%) patients, no specific underlying cause was found whiletwo 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 lessthan 10 years of age with a distinct male predominance.Keywords: Cholelithiasis, children, idiopathic gallstones, Haematological disorders.
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