Acalculous Cholecystitis in the Neonate

Xanthogranulomatous cholecystitis in an infant with obstructive jaundice

“…Although there have been some reports on XGC [2][3][4][5]7] and cholecystitis in childhood [8][9][10], we found no cases of infantile XGC in the available literature. In children under 15 years of age, acalculous cholecystitis most often results from cystic duct obstruction secondary to congenitally tortuous and narrow ducts, enlarged lymph nodes, and infection [8,9]. In the present case, the cause of this obstruction was not clear.…”

Diaphragm of the Gallbladder: A Rare Cause of Acalculous Acute Cholecystitis

“…A long period of fasting causes a sludge-filled cystic duct, acting as a barrier when oral alimentation is reinstated. Cystic duct obstructions, whether extrinsic or intrinsic, may also induce gallbladder distension and ischemia, a mechanism probably involved in our patient (3,4).…”

A case of acute neonatal acalculous cholecystitis: A case report

“…We reported a 3-day-old male newborn who was brought with a complaint of vomiting of every breastfed of 2 days duration followed by decreased breast feeding, change in mentation, and signs and symptoms of dehydration. Reports indicated that the condition starts from first day of life with most of them were reported in the late neonatal age (after the first week of life) [ 2 , 8 ]. However, small proportion of cases was also reported in the early neonatal period (the first week of life) [ 2 , 8 ].…”

“…Reports indicated that the condition starts from first day of life with most of them were reported in the late neonatal age (after the first week of life) [ 2 , 8 ]. However, small proportion of cases was also reported in the early neonatal period (the first week of life) [ 2 , 8 ]. Likewise our patient was among the few cases reported in the early neonatal age.…”

“…Neonatal Acalculous Cholecystitis commonly occurs in association with sepsis, prematurity related to total parenteral nutrition (TPN), medications (ceftriaxone, furosemide), inspissated bile, burn, trauma resulting in dehydration, hypotension and ileus, E. coli lipopolysaccharide endotoxin, transfusion, and ventilatory support [ 2 , [4] , [5] , [6] ]. However, these factors are also associated with calculous cholecystitis [ 4 ].…”