03/12/2025
Busting the myth of Gallstones in a child: A Story of Laparoscopic Cholecystectomy in an 8-Year-Old
When for two months a Margao based family, whose 8-year-son got no respite from abdomen pain and fever, they walked-into the Emergency room at Victor Hospital.
The child had all the classic symptoms: sharp pain in the upper right side of his abdomen, especially after meals, accompanied by nausea and occasional vomiting. These symptoms were initially mistaken for indigestion, over time, became more frequent and severe.
After a thorough examination, including blood tests and an ultrasound, the doctors at Victor Hospital confirmed the presence of gallstones in his gallbladder as his final reports showed acute prolonged calculus cholecystitis.
Dr P Ravi Teja, Consultant- Laparoscopic, Laser & General Surgeon who took up this case said: for a child so young, this was an unexpected diagnosis, so the medical team discussed various options, but given the frequency and intensity of his symptoms, surgical removal of the gallbladder (cholecystectomy) was deemed the most appropriate course of action.
Dr Ravi said: We all hear about Gallstones affecting adults, causing pain and discomfort. But what if they appear in a child, especially a young one? It is less common, but does happen. For the un-initiated, Gallstones are small, hard deposits that form in the gallbladder, a small organ under the liver that stores bile (a digestive fluid). In adults, they are often linked to diet, obesity, and genetics. The causes can be more varied in children. They are associated with certain medical conditions, blood disorders, or prolonged use of specific medications. Other times, like in our young patient's case, the exact cause might not be immediately clear, making it even more of a puzzle for doctors.
Traditionally, gallbladder removal involves a large incision in the abdomen. However, advancements in surgical techniques have made laparoscopic cholecystectomy the preferred method, especially for children, due to its numerous benefits.
Dr Ravi stated: we did a "keyhole" surgery. Instead of a large cut, we made small incisions (usually 3 or 4) – typically less than a centimetre each – in the abdomen. A tiny camera (laparoscope) was inserted through one incision, allowing the surgeon to view the internal organs on a monitor. Specialized instruments, in this case a 3D-4K system was used as it helped in outlining the organs involved and to carefully detach and remove the gallbladder. The surgical team, experienced in paediatric procedures, chose laparoscopic cholecystectomy as it meant less trauma to the child’s body, reduced blood loss, and a faster recovery.
The 8 - year old had three gallstones, the largest measuring 1*1cms.
Dr Ravi said: the young boy was admitted for a day, with no family history, we suspect that excessive intake of aerated drinks and intake of high fatty foods caused these stones.
Post discharge, he is now free from pain and back to enjoying a healthy, active childhood. One of the most remarkable aspects of laparoscopic surgery is the rapid recovery time. The 8-year-old was up and about surprisingly quickly. He experienced minimal post-operative pain, managed effectively with medication. Within a few days, he was discharged from the hospital, eager to return home.
Dr Ravi said: his parents were amazed at how quickly he bounced back. Unlike traditional open surgery, which can leave a large scar and require a longer healing period, the tiny incisions from his laparoscopic surgery were barely noticeable. He was soon back to school and enjoying his usual activities, with only minor dietary adjustments recommended initially.
Key Takeaways for Parents:
* While gallstones can affect children less common, be aware that gallstones can occur in young individuals.
* Don't ignore abdominal pain: Persistent or severe abdominal pain in a child, especially after meals, should always be investigated by a doctor.
* Laparoscopic surgery is a game-changer: For gallbladder removal, this minimally invasive technique offers significant advantages, including less pain, smaller scars, and a quicker recovery, making it ideal for paediatric patients.
* Early diagnosis is crucial: Prompt medical attention can lead to timely diagnosis and appropriate treatment, preventing complications.
Disclaimer: This article is for general public awareness on gallbladder stones in children and is in no way a promotion of either the Doctor or the hospital. Readers should consult with a qualified healthcare professional for diagnosis and treatment, and this content does not create a doctor-patient relationship.
