Necrotic acalculous cholecystitis in an 8-year-old boy: a case report
Abstract Background Although its incidence has increased in recent years, gallbladder inflammation in childhood is generally a rare condition. Acute acalculous cholecystitis accounts for about 50–70% of gallbladder inflammation in childhood, mostly in previously healthy children. The onset is strong...
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| Language: | English |
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BMC
2025-02-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-025-05066-9 |
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| author | Fanny Mueller Amy McDonald Vera S. Schellerer |
| author_facet | Fanny Mueller Amy McDonald Vera S. Schellerer |
| author_sort | Fanny Mueller |
| collection | DOAJ |
| description | Abstract Background Although its incidence has increased in recent years, gallbladder inflammation in childhood is generally a rare condition. Acute acalculous cholecystitis accounts for about 50–70% of gallbladder inflammation in childhood, mostly in previously healthy children. The onset is strongly associated with viral, bacterial, or parasitic infections. Case presentation We present the case of a healthy 8-year-old boy of German descent diagnosed with necrotic acute acalculous cholecystitis, exhibiting only mild inflammatory signs and an unspecific clinical presentation of abdominal pain. There was no evidence of viral, bacterial, or parasitic infection. According to his unclear clinical presentation with 2-day history of vomiting, we performed an explorative laparoscopy and detected a necrotic gallbladder. After laparoscopic cholecystectomy, the patient’s health status improved immediately. He was discharged from the hospital on the third day after the operation. Conclusion Unlike our patient, almost all cases of acute acalculous cholecystitis originate from viral or bacterial infections, with clinical evidence of gallbladder inflammation shown on diagnostic imaging. An exploration of the abdominal cavity during a laparoscopic procedure was vital to our patient’s mortality and could be for others as well. |
| format | Article |
| id | doaj-art-9ec33a8dda5e4510baebb408465e3e56 |
| institution | OA Journals |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-9ec33a8dda5e4510baebb408465e3e562025-08-20T02:15:08ZengBMCJournal of Medical Case Reports1752-19472025-02-011911610.1186/s13256-025-05066-9Necrotic acalculous cholecystitis in an 8-year-old boy: a case reportFanny Mueller0Amy McDonald1Vera S. Schellerer2Department of Pediatric Surgery, Universitätsmedizin GreifswaldVirginia Commonwealth University, College of Health ProfessionsDepartment of Pediatric Surgery, Universitätsmedizin GreifswaldAbstract Background Although its incidence has increased in recent years, gallbladder inflammation in childhood is generally a rare condition. Acute acalculous cholecystitis accounts for about 50–70% of gallbladder inflammation in childhood, mostly in previously healthy children. The onset is strongly associated with viral, bacterial, or parasitic infections. Case presentation We present the case of a healthy 8-year-old boy of German descent diagnosed with necrotic acute acalculous cholecystitis, exhibiting only mild inflammatory signs and an unspecific clinical presentation of abdominal pain. There was no evidence of viral, bacterial, or parasitic infection. According to his unclear clinical presentation with 2-day history of vomiting, we performed an explorative laparoscopy and detected a necrotic gallbladder. After laparoscopic cholecystectomy, the patient’s health status improved immediately. He was discharged from the hospital on the third day after the operation. Conclusion Unlike our patient, almost all cases of acute acalculous cholecystitis originate from viral or bacterial infections, with clinical evidence of gallbladder inflammation shown on diagnostic imaging. An exploration of the abdominal cavity during a laparoscopic procedure was vital to our patient’s mortality and could be for others as well.https://doi.org/10.1186/s13256-025-05066-9PediatricsAcute acalculous cholecystitisGangrenous cholecystitis |
| spellingShingle | Fanny Mueller Amy McDonald Vera S. Schellerer Necrotic acalculous cholecystitis in an 8-year-old boy: a case report Journal of Medical Case Reports Pediatrics Acute acalculous cholecystitis Gangrenous cholecystitis |
| title | Necrotic acalculous cholecystitis in an 8-year-old boy: a case report |
| title_full | Necrotic acalculous cholecystitis in an 8-year-old boy: a case report |
| title_fullStr | Necrotic acalculous cholecystitis in an 8-year-old boy: a case report |
| title_full_unstemmed | Necrotic acalculous cholecystitis in an 8-year-old boy: a case report |
| title_short | Necrotic acalculous cholecystitis in an 8-year-old boy: a case report |
| title_sort | necrotic acalculous cholecystitis in an 8 year old boy a case report |
| topic | Pediatrics Acute acalculous cholecystitis Gangrenous cholecystitis |
| url | https://doi.org/10.1186/s13256-025-05066-9 |
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