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[Acalculous acute cholecystitis during the course of typhoid fever in children].
Rev Gastroenterol Peru. 2001 Jan-Mar; 21(1):36-41.RG

Abstract

OBJECTIVES

Determine the treatment of the acalculous acute cholecystitis during the course of typhoid fever in children.

MATERIAL AND METHODS

It was carried out a retrospective study in 10 patients with acalculous cholecystitis in the course of typhoid fever, from June 1992 to May 1997, in the Children's Institute of Health.

RESULTS

Six patients were male and four women, whose ages fluctuated among the 2 years 6 months old to 15 years old. Cholecystitis was presented mostly in the first weeks of the illness. Characteristic findings were fever, abdominal pain, diarrhea, vomits, jaundice and palpable mass. We have performed cholecystostomy in four patients, cholecystectomy in 3 patients and three patients were not operated, two then received medical treatment and were follow-up with ultrasonography and one patient got lost in the control. The 10 patients received chloramphenicol for 14 days. As post operative complication, a patient presented an intestinal obstruction for adherences and another patient presented an intraabdominal abscess.

CONCLUSION

Acute cholecystitis is not a common entity in children, and rare complication in the course of the typhoid fever. The surgical decision is primary in almost all the patients, for the risk of vesicular perforation and the possibility they become healthy carriers. Those patients who were not able to have a surgical treatment, were recommended to have medical treatment and ultrasonographic follow-up.

Authors+Show Affiliations

Cirujano Pediatra del Instituto de Salud del Niño.

Pub Type(s)

Journal Article
Review

Language

spa

PubMed ID

12170285

Citation

Jaramillo Samaniego, J G.. "[Acalculous Acute Cholecystitis During the Course of Typhoid Fever in Children]." Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru, vol. 21, no. 1, 2001, pp. 36-41.
Jaramillo Samaniego JG. [Acalculous acute cholecystitis during the course of typhoid fever in children]. Rev Gastroenterol Peru. 2001;21(1):36-41.
Jaramillo Samaniego, J. G. (2001). [Acalculous acute cholecystitis during the course of typhoid fever in children]. Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru, 21(1), 36-41.
Jaramillo Samaniego JG. [Acalculous Acute Cholecystitis During the Course of Typhoid Fever in Children]. Rev Gastroenterol Peru. 2001 Jan-Mar;21(1):36-41. PubMed PMID: 12170285.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Acalculous acute cholecystitis during the course of typhoid fever in children]. A1 - Jaramillo Samaniego,J G, PY - 2002/8/10/pubmed PY - 2002/10/17/medline PY - 2002/8/10/entrez SP - 36 EP - 41 JF - Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru JO - Rev Gastroenterol Peru VL - 21 IS - 1 N2 - OBJECTIVES: Determine the treatment of the acalculous acute cholecystitis during the course of typhoid fever in children. MATERIAL AND METHODS: It was carried out a retrospective study in 10 patients with acalculous cholecystitis in the course of typhoid fever, from June 1992 to May 1997, in the Children's Institute of Health. RESULTS: Six patients were male and four women, whose ages fluctuated among the 2 years 6 months old to 15 years old. Cholecystitis was presented mostly in the first weeks of the illness. Characteristic findings were fever, abdominal pain, diarrhea, vomits, jaundice and palpable mass. We have performed cholecystostomy in four patients, cholecystectomy in 3 patients and three patients were not operated, two then received medical treatment and were follow-up with ultrasonography and one patient got lost in the control. The 10 patients received chloramphenicol for 14 days. As post operative complication, a patient presented an intestinal obstruction for adherences and another patient presented an intraabdominal abscess. CONCLUSION: Acute cholecystitis is not a common entity in children, and rare complication in the course of the typhoid fever. The surgical decision is primary in almost all the patients, for the risk of vesicular perforation and the possibility they become healthy carriers. Those patients who were not able to have a surgical treatment, were recommended to have medical treatment and ultrasonographic follow-up. SN - 1022-5129 UR - https://www.unboundmedicine.com/medline/citation/12170285/[Acalculous_acute_cholecystitis_during_the_course_of_typhoid_fever_in_children]_ L2 - https://www.diseaseinfosearch.org/result/1342 DB - PRIME DP - Unbound Medicine ER -