Información adicional

• Num_publicacion 70(5)
• Resumen_ingles

  Choledocholithiasis is a rare complication in patients with hereditary spherocytosis (HS) under the age of 6 years. A 5 years old girl with HS and symptomatic choledocholithiasis with spontaneous resolution is therefore discussed.

  Was diagnosed of HS in her neonatal period. She had repeated hemolytic crisis and also aplastic crisis. Asymptomatic from 2 ½ years, she went to the emergency room because of mucocutaneous jaundice and abdominal pain. She had hepatosplenomegaly, hyperbilirubinemia up 29.23 mg/dL and Hb 84 g/L. Abdominal ultrasound showed cholelithiasis and choledocholithiasis.

  Antibiotic treatment and ursodeoxycholic acid were given with favorable clinical and analytical outcome. She was discharged home with spontaneous ultrasound resolution. No invasive techniques were needed. We decided to delay splenectomy and cholecystectomy because of the age of the patient.

  Choledocholithiasis is a rare complication in childhood. It represents only 5% in children under 5 years with HS. Only in isolated cases it resolves spontaneously. If the patient is older than 6 years old a splenectomy with cholecystectomy is the rule. There is no consensus on treatment in children under 6 years with HS who have cholelithiasis.

• Palabras_clave_ingles Cholelitiasis in childhood hemolytic anemia hereditary sph­ero­cytosis
• Todos_autores M.D. Madrid Castillo, J.M. Pérez Hurtado de Mendoza, J.F. Prieto, C. Felici, C. Pérez de Soto
• autores listados M.D. Madrid Castillo, J.M. Pérez Hurtado de Mendoza, J.F. Prieto, C. Felici, C. Pérez de Soto
• Correspondecia
  M.D. Madrid Castillo. Unidad de Hematología Pediátrica. Hospital Infantil «Virgen del Rocío». Avda. Manuel Siurot, s/n. 41013 Sevilla.
  Correo electrónico: lolmacas@yahoo.es
• Titulo_ingles Choledocholithiasis in a child five years old with hereditary spherocytosis
• Centros_trabajo Unidad de Hematología Pediátrica. Hospital Infantil «Virgen del Rocío». Sevilla
• Publicado en Acta Pediatr Esp. 2012; 70(5): 226-229
• copyright ©2012 Ediciones Mayo, S.A.
• Fecha recepcion 01/02/11
• Fecha aceptacion 24/02/11