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Outcome of acalculous cholecystitis from typhoid in Nigerian children.
J Natl Med Assoc. 2009 Jul; 101(7):717-9.JN

Abstract

BACKGROUND

Gallbladder perforation and gangrene ordinarily follow obstructive (calculous) cholecystitis with a higher frequency among immunocompromised patients or patients with intense inflammation of the gallbladder. The occurrence of typhoid intestinal perforation is common in the tropics, but GBP and gangrene have been reported sparingly. We report management challenges of 6 children with complications of acalculous cholecystitis from typhoid seen at our center.

PATIENTS AND METHODS

The patients were retrospectively sorted from the pediatric surgery unit and theater records of January 2000 to December 2006. Information studied included the patients' biodata, presenting features, operative findings, and outcome of management.

RESULTS

There were 6 patients, including 5 boys and a girl, ages ranging 3 to 15 years. The general presentation was that of septicemia. Three had multiple gallbladder perforations, and 3 others had gallbladder gangrene with inflamed Payer's patches on the terminal ileum. All patients underwent open cholecystectomy. There was a case each of postoperative fecal fistula and biliary fistula. All patients survived.

CONCLUSION

Acalculous typhoid gallbladder perforation, though rare, presents with management challenges.

Authors+Show Affiliations

Pediatric Surgery Unit, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria. bolarjide@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19634594

Citation

Abdur-Rahman, Olajide Lukman, et al. "Outcome of Acalculous Cholecystitis From Typhoid in Nigerian Children." Journal of the National Medical Association, vol. 101, no. 7, 2009, pp. 717-9.
Abdur-Rahman OL, Adeniran OJ, Nasir AA. Outcome of acalculous cholecystitis from typhoid in Nigerian children. J Natl Med Assoc. 2009;101(7):717-9.
Abdur-Rahman, O. L., Adeniran, O. J., & Nasir, A. A. (2009). Outcome of acalculous cholecystitis from typhoid in Nigerian children. Journal of the National Medical Association, 101(7), 717-9.
Abdur-Rahman OL, Adeniran OJ, Nasir AA. Outcome of Acalculous Cholecystitis From Typhoid in Nigerian Children. J Natl Med Assoc. 2009;101(7):717-9. PubMed PMID: 19634594.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of acalculous cholecystitis from typhoid in Nigerian children. AU - Abdur-Rahman,Olajide Lukman, AU - Adeniran,Olaniyi James, AU - Nasir,Adegoke Abdul-Rasheed, PY - 2009/7/29/entrez PY - 2009/7/29/pubmed PY - 2009/9/18/medline SP - 717 EP - 9 JF - Journal of the National Medical Association JO - J Natl Med Assoc VL - 101 IS - 7 N2 - BACKGROUND: Gallbladder perforation and gangrene ordinarily follow obstructive (calculous) cholecystitis with a higher frequency among immunocompromised patients or patients with intense inflammation of the gallbladder. The occurrence of typhoid intestinal perforation is common in the tropics, but GBP and gangrene have been reported sparingly. We report management challenges of 6 children with complications of acalculous cholecystitis from typhoid seen at our center. PATIENTS AND METHODS: The patients were retrospectively sorted from the pediatric surgery unit and theater records of January 2000 to December 2006. Information studied included the patients' biodata, presenting features, operative findings, and outcome of management. RESULTS: There were 6 patients, including 5 boys and a girl, ages ranging 3 to 15 years. The general presentation was that of septicemia. Three had multiple gallbladder perforations, and 3 others had gallbladder gangrene with inflamed Payer's patches on the terminal ileum. All patients underwent open cholecystectomy. There was a case each of postoperative fecal fistula and biliary fistula. All patients survived. CONCLUSION: Acalculous typhoid gallbladder perforation, though rare, presents with management challenges. SN - 0027-9684 UR - https://www.unboundmedicine.com/medline/citation/19634594/Outcome_of_acalculous_cholecystitis_from_typhoid_in_Nigerian_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0027-9684(15)30982-2 DB - PRIME DP - Unbound Medicine ER -