Gastroenteritis with Uncontrolled Vomitings and abdominal Pain

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
My 12 years old daughter suffered from acute infective hepatitis around 8 months back. She recovered uneventfully after that. She was doing fine till now, when she was admitted for acute gastroenteritis with uncontrolled vomiting & pain abdomen. USG was done which was normal except showing gallstone (single, size-9mm). Previous USG at time of Hepatitis was normal (i.e. no gallstone). There is no family h/o hemolytic anemia, even her hemogram does not suggest this. What could be the cause for gallstone? What should be our approach now for gallstone? She has not been on any medications.
Answer
A gallstone may be due to pigment in the form of bilirubin i.e. in hemolytic anemia or it could be due to cholesterol as in hyperlipidemia or a mixed variety. In children, cholesterol stones are rare and the commonest are due to hemolytic anemia. She will need investigation in the form on workup for hemolytic anemia (even if there is no family history of hemolytic anemia) and lipid profile. She will also need evaluation by a pediatric surgeon for the gallstone whether to leave it alone or to undergo surgery for the same. Back to All Questions

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