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Gallstone pancreatitis in children: Atypical presentation and review

Show simple item record Akel S. Khalifeh M. Makhlouf Akel M.
dc.contributor.editor Jul-2005 2017-10-05T16:07:41Z 2017-10-05T16:07:41Z 2005
dc.identifier 10.1007/s00431-005-1675-2
dc.identifier.issn 03406199
dc.description.abstract Pancreatitis in children is less common than in adults and is mostly related to trauma, infection and anatomical anomalies. Gallstone pancreatitis is an even rarer entity in infants and children. We present an unusual case of gallstone pancreatitis in a 17- month-old girl who presented with jaundice of 1 month duration. The laboratory studies showed conjugated hyperbilirubinaemia with associated acute pancreatitis and pseudo-hyponatraemia secondary to the markedly elevated lipid profile. Further evaluations revealed obstruction at the Ampulla of Vater with no evidence of a choledochal cyst and no mass lesion seen in the pancreas. The patient initially underwent urgent decompressive cholecystostomy with intraoperative cholecystography. When the biochemical parameters improved, the patient underwent formal cholecystectomy with common bile duct exploration, extraction of multiple impacted stones in the ampullary region and Fogarty balloon sphincterotomy. The post-operative course was uneventful. Conclusion:Acute gallstone pancreatitis in children may present as jaundice or abdominal pain. Recognition, early diagnosis and surgical intervention are the mainstay for a good outcome. © Springer-Verlag 2005.
dc.format.extent Pages: (482-485)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: European Journal of Pediatrics; Publication Year: 2005; Volume: 164; no. 8; Pages: (482-485);
dc.source Scopus
dc.title Gallstone pancreatitis in children: Atypical presentation and review
dc.type Article
dc.contributor.affiliation Akel, S., Department of Surgery, American University of Beirut Medical Centre, 113-6044-A10, Beirut, Lebanon
dc.contributor.affiliation Khalifeh, M., Department of Surgery, American University of Beirut Medical Centre, 113-6044-A10, Beirut, Lebanon
dc.contributor.affiliation Makhlouf Akel, M., Department of Surgery, American University of Beirut Medical Centre, 113-6044-A10, Beirut, Lebanon, Department of Family Medicine, American University of Beirut Medical Centre, Beirut, Lebanon
dc.contributor.authorAddress Akel, S.; Department of Surgery, American University of Beirut Medical Centre, 113-6044-A10, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Akel, S
dc.contributor.authorInitials Khalifeh, M
dc.contributor.authorInitials Akel, MM
dc.contributor.authorReprintAddress Akel, MM (reprint author), Amer Univ Beirut, Med Ctr, Dept Surg, 113-6044-A10, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited ALBU E, 1987, J PEDIATR SURG, V22, P960, DOI 10.1016-S0022-3468(87)80601-2; BEHRMAN RE, 2000, NELSON TXB PEDIAT, P221; BRILL PW, 1982, PEDIATR RADIOL, V12, P285, DOI 10.1007-BF00973193; Holcomb GW, 1999, J PEDIATR SURG, V34, P1236, DOI 10.1016-S0022-3468(99)90159-8; LILLY JR, 1980, J PEDIATR SURG, V15, P577, DOI 10.1016-S0022-3468(80)80777-9; LJUNG R, 1992, ACTA PAEDIATR, V81, P69, DOI 10.1111-j.1651-2227.1992.tb12082.x; PARIENTE D, 1989, PEDIATR RADIOL, V19, P104, DOI 10.1007-BF02387896; PORKORNY WJ, 1984, AM J SURG, V148, P742; RANSON JHC, 1979, ANN SURG, V189, P654, DOI 10.1097-00000658-197905000-00016; SABESIN SM, 1982, GASTROENTEROLOGY, V83, P704; Sutton R, 2001, ANN ROY COLL SURG, V83, P406; Wilcox DT, 1997, PEDIATR SURG INT, V12, P198
dc.description.citedCount 3
dc.description.citedTotWOSCount 1
dc.description.citedWOSCount 1
dc.format.extentCount 4
dc.identifier.coden EJPED
dc.identifier.pubmedID 15838636
dc.identifier.scopusID 23044503265
dc.publisher.address 233 SPRING STREET, NEW YORK, NY 10013 USA
dc.relation.ispartOfISOAbbr Eur. J. Pediatr.
dc.relation.ispartOfIssue 8
dc.relation.ispartofPubTitle European Journal of Pediatrics
dc.relation.ispartofPubTitleAbbr Eur. J. Pediatr.
dc.relation.ispartOfVolume 164
dc.source.ID WOS:000230811500003
dc.type.publication Journal
dc.subject.otherAuthKeyword Acute pancreatitis
dc.subject.otherAuthKeyword Children
dc.subject.otherAuthKeyword Cholelithiasis
dc.subject.otherChemCAS lipid, 66455-18-3
dc.subject.otherIndex lipid
dc.subject.otherIndex acute pancreatitis
dc.subject.otherIndex article
dc.subject.otherIndex biochemistry
dc.subject.otherIndex case report
dc.subject.otherIndex cholecystography
dc.subject.otherIndex cholecystotomy
dc.subject.otherIndex clinical feature
dc.subject.otherIndex common bile duct cyst
dc.subject.otherIndex female
dc.subject.otherIndex Fogarty catheter
dc.subject.otherIndex gallstone
dc.subject.otherIndex human
dc.subject.otherIndex hyperbilirubinemia
dc.subject.otherIndex hyponatremia
dc.subject.otherIndex jaundice
dc.subject.otherIndex laboratory
dc.subject.otherIndex magnetic resonance cholangiopancreatography
dc.subject.otherIndex pancreas
dc.subject.otherIndex pediatrics
dc.subject.otherIndex postoperative period
dc.subject.otherIndex preschool child
dc.subject.otherIndex priority journal
dc.subject.otherIndex sphincterotomy
dc.subject.otherIndex surgical technique
dc.subject.otherIndex Vater papilla
dc.subject.otherIndex Acute Disease
dc.subject.otherIndex Cholangiopancreatography, Endoscopic Retrograde
dc.subject.otherIndex Cholangiopancreatography, Magnetic Resonance
dc.subject.otherIndex Cholecystectomy
dc.subject.otherIndex Female
dc.subject.otherIndex Gallstones
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant
dc.subject.otherIndex Intraoperative Care
dc.subject.otherIndex Pancreatitis
dc.subject.otherIndex Treatment Outcome
dc.subject.otherKeywordPlus CHOLELITHIASIS
dc.subject.otherKeywordPlus INFANCY
dc.subject.otherWOS Pediatrics

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