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International Journal of Hepatology
Volume 2015 (2015), Article ID 459608, 6 pages
http://dx.doi.org/10.1155/2015/459608
Review Article

Acalculous Acute Cholecystitis in Previously Healthy Children: General Overview and Analysis of Pediatric Infectious Cases

1Dipartimento di Pediatria, Azienda Ospedaliera di Melegnano, Via Pandina 1, Vizzolo Predabissi, 20070 Milano, Italy
2Dipartimento di Chirurgia Generale, Azienda Ospedaliera di Melegnano, Via Pandina 1, Vizzolo Predabissi, 20070 Milano, Italy
3Dipartimento di Pediatria, Fondazione IRCCS Policlinico San Matteo, Universita degli Studi di Pavia, Piazzale Golgi 19, 27100 Pavia, Italy

Received 13 July 2015; Revised 25 October 2015; Accepted 29 October 2015

Academic Editor: Dirk Uhlmann

Copyright © 2015 Dimitri Poddighe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder, which does not appear to be associated with the presence of gallstones. AAC is estimated to represent more than 50% of cases of acute cholecystitis in the pediatric population. Although this pathology was initially described in critically ill patients, actually most pediatric cases have been observed during several infectious diseases. Particularly, here we reviewed pediatric infectious acute acalculous cholecystitis and analyzed the pathophysiological and clinical aspects of bacterial and viral forms.