[Biliary calculi in infancy and childhood].
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Authors analyse the data of 48 children with cholelithiasis (29 girls, 19 boys, mean age: 8,7 years). In the infants the gallstones developed mostly on the basis of predisposing disease and in them the spontaneous stone dissolution is frequent. Patients were divided into two groups. In the I. group gallstones developed at the presence of predisposing diseases, in the II. group such disease were not identified. In childhood more patients belong to the I. group as our results and earlier reports show, in this group characteristic symptoms cannot be found. In the II. group the vague abdominal pain was the most frequent symptom. Beyond the age of 10 years the sex ratio and the symptoms are similar to those of adults. In the I. group in 8 cases, while in the II. in 16 cases was operation done. In the latter group in two patient stone dissolution took place with Ursodeoxycholicacid. In childhood complication are infrequent. The ultrasound examination is a very useful tool in the diagnosis and follow up of these patients.
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