Case series of paediatric patients of acute acalculous cholecystitis associated with severe malaria in endemic region over past 3 years at single center

Abstract

Although acute acalculous cholecystitis (AAC) is a rare occurrence in all age groups; its incidence in paediatric patients is 50-60%. Yet ACC in children with malarial parasitic infection is extremely rare with only 12 cases reported as per English literature. We report 7 children with severe malaria developing ACC in a single institute in India over past 3 years. They were managed conservatively under strict observation and recovered completely without any surgical intervention. At a mean follow up of 1.5 years they are asymptomatic with a normal ultrasound imaging.