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Acute Cholecystitis in Children: A Report of 58 Cases


M Keita
O T Barry
AK Keita
A B Barry
B M Touré
I Baldé

Abstract



Acute Cholecystitis is uncommon in children. This study reports our experience of acute cholecystitis in children. It is a retrospective study of all the
children managed in the National Hospital of Donka (Conakry), within a 6-year period (January 1998 to December 2003). The data analyzed included age, clinical features, laboratory features and outcome ofmanagement. There were 58 patients with acute cholecystitis, (M:F=2:1). The most common causes of acute cholecystitis were Salmonella typhi organisms in 36 patients followed by stones in 8. Thirty four patientswere treated non-operatively but cholecystectomy was carried out in 24 patients. The mortality ratewas 10.34%. Salmonella and stones are the most common causes of childhood acute cholecystitis in Guinea Conakry. Acute cholecystitis is associated with significant mortality in
children.

Keywords: Acalculus cholecystitis, Salmonella typhi,
calculus cholecystitis.

African Journal of Paediatric Surgery Vol. 4 (2) 2007: pp. 79-81

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eISSN: 0189-6725