Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Abdominal ultrasonography is the first-line exam. Most cases of paediatric acalculous acute cholecystitis have been described in critically ill patients, but can occur in previously healthy children, without underlying diseases or severe conditions. The authors present a clinical report of a child with acalculous acute cholecystitis and enteroviral infection. Diagnosis, treatment, clinical course and prognosis are described. Pathophysiology, aetiology, diagnosis and treatment of acalculous acute cholecystitis are also discussed.
We read with interest the recent report concerning agenesis of the right lobe of the liver (2). We would like to report one additional case (3).A 67-year-old man with sciatica presented with hepatomegaly. The classic nonspecific radiographie signs (1, 5) were present. Ab sence of the right lobe of the liver with enlargement of the left lobe and ectopy of the gallbladder were demonstrated on CT. Selective arteriography documented "hypertrophy" of the left hepatic artery, anomalous right cystic branches, and absence of the right portal branch. Liver biopsy was normal. The malformation was excluded in the patient's 3 sons. Ectopy of the gallbladder is of clinical significance since it is associated with a predisposition to stasis and cholecystolithiasis (4, 5).
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