Abstract
ACUTE DISTENSION OF GALLBLADDER IN CHILDREN: REPORT OF CASE

Ibrahim Salih Elkheir*, Mohamed Elfattih Ahmed Elnour, Alshazly Mohamed Ahmed Abdalkareem, Tagwa Faisal Mohamed Alsadig

ABSTRACT

Acute Distension of gallbladder (ADG) or hydrous of gallbladder in children is rare disease characterized by massive distention of gallbladder with absence of stones, congenital anomaly or bacteria. Here we presented a 4 years old boy complain of abdominal pain, nausea and vomiting. On examination there was marked tenderness of the right hypochondrium and epigastrium. Tenderness was elicited in the right iliac fossa but here there was no rigidity a tentative diagnosis of acute appendicitis was made. Shortly afterwards the child had a severe attack of pain; he vomited profusely, and there was marked rigidity in the right hypochondrium so another tentative diagnosis of intussusception was made and the child prepared for operation. Under anesthesia a tense mass was palpable in the right hypochondrium. On displacing the transverse colon downwards, a large, tense gall bladder presented owing to extreme distention. So we treated our patient by doing colecystectomy so we recommend to the doctors to put acute distention of gallbladder in their differential diagnosis and make more concern regarding the complications of the disease.

Keywords: Acute, Distension, Gallbladder, Children.


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