Biliary Pseudolithiasis in Children: To Avoid Unnecessary Surgical Procedure.
10.13029/jkaps.2014.20.2.62
- Author:
Shinn Young KIM
1
;
Soo Ah LIM
;
Myung Duk LEE
Author Information
1. Division of Pediatric Surgery, Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea. myungdlee@gmail.com
- Publication Type:Case Report
- Keywords:
Ceftriaxone;
Biliary pseudolithiasis;
Child
- MeSH:
Ceftriaxone;
Child*;
Cholecystectomy, Laparoscopic;
Communicable Diseases;
Gallbladder;
Humans;
Obesity;
Risk Factors
- From:Journal of the Korean Association of Pediatric Surgeons
2014;20(2):62-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gallbladder stones in children are not common without underlying hemolytic diseases or other risk factors like obesity. Ceftriaxone, a third generation cephalosporin, is known to make biliary precipitations that can be mistaken for biliary stones. We here report two children with biliary pseudolithiasis with different treatment modalities. One child was mistaken for symptomatic gallbladder stones and underwent elective laparoscopic cholecystectomy, while the other child, after thorough history taking on the ceftriaxone medication, was suspected of biliary pseudolithiasis and was treated conservatively. Both children had the history of usage of ceftriaxone in previous hospitals for infectious diseases. The ceftriaxone history of the first child was missed before the surgery. When gallbladder stones are found in children without any underlying diseases, specific history taking of the usage of ceftriaxone seems to be absolutely required. In this case, immediate interruption of the antibiotic could resolve the episode and avoid unnecessary surgical procedure.
