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Acalculous acute cholecystitis during the course of an enteroviral infection
  1. Ana Sofia Simões,
  2. Andreia Marinhas,
  3. Paulo Coelho and
  4. Sandra Ferreira
  1. Hospital Pediatrico de Coimbra, Coimbra, Portugal
  1. Correspondence to Dr Ana Sofia Simões, anasofiapediatria{at}


Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Abdominal ultrasonography is the first-line exam. Most cases of paediatric acalculous acute cholecystitis have been described in critically ill patients, but can occur in previously healthy children, without underlying diseases or severe conditions. The authors present a clinical report of a child with acalculous acute cholecystitis and enteroviral infection. Diagnosis, treatment, clinical course and prognosis are described. Pathophysiology, aetiology, diagnosis and treatment of acalculous acute cholecystitis are also discussed.

  • ultrasonography
  • pancreas and biliary tract
  • hepatitis and other GI infections
  • paediatrics

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  • Contributors ASS and AM planned and conceived the presented case report. ASS and SF wrote the article. PC selected and treated the image. All authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/Guardian consent obtained.