Advances in pediatric surgery
- 제20권2호
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- Pages.62-64
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- 2014
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
DOI QR Code
소아에서의 Ceftriaxone 투여에 따른 거짓담석증: 불필요한 수술의 방지를 위하여
Biliary Pseudolithiasis in Children: To Avoid Unnecessary Surgical Procedure
- Kim, Shinn Young (Division of Pediatric Surgery, Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
- Lim, Soo-Ah (Department of Diagnostic Radiology, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
- Lee, Myung Duk (Division of Pediatric Surgery, Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital)
- 투고 : 2014.09.12
- 심사 : 2014.11.11
- 발행 : 2014.12.31
초록
Gallbladder stones in children are not common without underlying hemolytic diseases or other risk factors like obesity. Ceftriaxone, a third generation cephalosporin, is known to make biliary precipitations that can be mistaken for biliary stones. We here report two children with biliary pseudolithiasis with different treatment modalities. One child was mistaken for symptomatic gallbladder stones and underwent elective laparoscopic cholecystectomy, while the other child, after thorough history taking on the ceftriaxone medication, was suspected of biliary pseudolithiasis and was treated conservatively. Both children had the history of usage of ceftriaxone in previous hospitals for infectious diseases. The ceftriaxone history of the first child was missed before the surgery. When gallbladder stones are found in children without any underlying diseases, specific history taking of the usage of ceftriaxone seems to be absolutely required. In this case, immediate interruption of the antibiotic could resolve the episode and avoid unnecessary surgical procedure.