Colelitiasis en un paciente pediátrico

Abstract

In this study, the clinical case of cholelithiasis is presented in a 6-year-old patient of the General Puyo Hospital, without a significant pathological history, the same one that has been mentioned by a health center by external consultation for surgical resolution of her clinical picture, presenting Abdominal Ultrasound performed on December 22, 2018 at the radiological clinic of the city of Ambato that reports cholelithiasis, gallstones of 1.77 cm, liver, pancreas, bile ducts, spleen, and normal kidneys, the diagnosis is confirmed with another ultrasound study carried out on January 04, 2019 in radiological clinic of the city of Pelileo, reporting vesicular micro lithiasis, laboratory tests within normal parameters, laparoscopic cholecystectomy is scheduled, finding gallbladder with adhesion of omentum, gallbladder of 5x3x3 cm of walls thin with micro stones inside, cystic dilated approximately 0.5 cen diameter diameters, seemingly normal bile duct, at 24 hours oral tolerance is tested, a patient with a favorable, stable evolution, good gastric gold tolerance was decided to discharge and follow-up by external consultation, in a week, to withdraw points and verify evolution.