A Case of Neonatal Cholelithiasis Induced by Prolonged Lack of Enteral Feeding and Total Parenteral Nutrition.
- Author:
Jung Sub SHIM
1
;
Bum Chul PARK
;
Young Jun HWANG
;
Min Jung CHO
;
Ji Young SEO
;
Soo Jin JUNG
;
Kyu Hyung LEE
Author Information
1. Department of Pediatrics, Pochon CHA University, Sungnam, Korea. sjs1120@hnmail.net
- Publication Type:Case Report
- Keywords:
Cholelithiasis;
Total parenteral nutrition
- MeSH:
Adult;
Bile Acids and Salts;
Cholecystectomy;
Cholelithiasis*;
Enteral Nutrition*;
Enterohepatic Circulation;
Female;
Humans;
Infant;
Infant, Newborn;
Parenteral Nutrition;
Parenteral Nutrition, Total*;
Ultrasonography
- From:Journal of the Korean Society of Neonatology
2004;11(1):93-98
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cholelithiasis in infancy is a rare disorder. A number of conditions that occur in the neonatal period predispose to the development of cholelithiasis. Cholelithiasis is more marked in the premature than adult, because of the immaturity of the enterohepatic circulation of bile acids which renders the newborn more susceptible to the cholestatic effect of total parenteral nutrition (TPN). Parenteral nutrition associated cholelithiasis is the major indication for cholecystectomy in the pediatric age group because of severe complication, but a number of recent studies report spontaneous resolution of the stones. We report a case of a female infant with cholelithiasis diagnosed by ultrasonogram at 88 days of age which is probably induced by prolonged lack of enteral feeding and TPN.
