Colelitiasis neonatal: un hallazgo inusual. Reporte de un caso.

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Title:	Colelitiasis neonatal: un hallazgo inusual. Reporte de un caso.
Authors:	Fernando Rodas-Andino, Josué¹ rodasmd@hotmail.com, Antonio Martínez-Quiroz, Roberto²
Source:	Revista Mexicana de Pediatria. may/jun2018, Vol. 85 Issue 3, p95-97. 3p.
Abstract (English):	Cholelithiasis is a relatively rare disease in children, but it is found more often in patients with predisposing disorders. It is rare to see it before adolescence and it is asymptomatic, reaching a prevalence of 0.5 % (according to Spanish authors) and up to 1.9% (according to American authors). There are few reported cases. Case presentation: Full-term female 17-hour-old newborn; she was moved from a regional hospital for exchange transfusion because of generalized jaundice (Kramer V). Hyperbilirubinemia at the expense of direct bilirubin was reported; an abdominal ultrasound reported cholelithiasis. Conservative management was given with choleretics, and the patient evolved favourably. Conclusions: Neonatal cholelithiasis is rare; its clinical manifestations are varied and nonspecific. Unlike in children and adolescents, its management in newborns is nonsurgical in most cases. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	La colelitiasis es una patología relativamente rara en niños, pero es más frecuente encontrarla en pacientes con trastornos predisponentes. Es poco común antes de la adolescencia y es asintomática; alcanza prevalencias de 0.5% según autores españoles y hasta de 1.9% según autores norteamericanos. Son pocos los casos reportados. Presentación de caso: Recién nacida a término, de 17 horas de edad; fue traslada desde el Hospital Regional para exanguinotransfusión, con ictericia generalizada (Kramer V). Tenía hiperbilirrubinemia a expensas de bilirrubina directa; el ultrasonido abdominal reportó colelitiasis. Se le dio manejo conservador con coleréticos y evolucionó satisfactoriamente. Conclusiones: La colelitiasis neonatal es muy poco frecuente, las manifestaciones clínicas son variadas e inespecífi cas. A diferencia de niños y adolescentes, el manejo en neonatos es no quirúrgico en la mayoría de los casos. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Cholelithiasis is a relatively rare disease in children, but it is found more often in patients with predisposing disorders. It is rare to see it before adolescence and it is asymptomatic, reaching a prevalence of 0.5 % (according to Spanish authors) and up to 1.9% (according to American authors). There are few reported cases. Case presentation: Full-term female 17-hour-old newborn; she was moved from a regional hospital for exchange transfusion because of generalized jaundice (Kramer V). Hyperbilirubinemia at the expense of direct bilirubin was reported; an abdominal ultrasound reported cholelithiasis. Conservative management was given with choleretics, and the patient evolved favourably. Conclusions: Neonatal cholelithiasis is rare; its clinical manifestations are varied and nonspecific. Unlike in children and adolescents, its management in newborns is nonsurgical in most cases. [ABSTRACT FROM AUTHOR]
ISSN:	00350052