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Cholelithiasis and Its Complications in Children and Adolescents: Update and Case Discussion

Poffenberger, Cori McClure MD*†‡; Gausche-Hill, Marianne MD*†‡; Ngai, Steven MD§∥; Myers, Andrew BS; Renslo, Richard MD‡§∥

doi: 10.1097/PEC.0b013e31823f5b1e
CME Review Article

In recent years, gallbladder disease, primarily in the form of cholelithiasis, has been on the rise among infants and children. Although pediatric gallbladder disease is still less prevalent than adult gallbladder disease, physicians and other clinicians who care for children need to be aware of this underappreciated problem and understand the manifestations of biliary disease in the pediatric population. In this article, case discussions will serve as a platform for discussing the clinical spectrum of cholelithiasis and its complications in children as well as discussing the latest evidence related to diagnosis and treatment.

*Director, Adult Emergency Department (Poffenberger), Director, EMS and Pediatric Emergency Medicine Fellowships (Gausche-Hill), Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance; †Assistant Clinical Professor of Medicine (Poffenberger), Professor of Clinical Medicine (Gausche-Hill), Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles; ‡Los Angeles Biomedical Research Institute and §Resident physician (Ngai), Residency Director, Diagnostic Radiology Residency Program (Renslo), Department of Radiology, Harbor-UCLA Medical Center, Torrance; and ∥Clinical Professor (Renslo), Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Myers is an undergraduate student at the University of California at Santa Cruz, Santa Cruz, CA.

Reprints: Cori McClure Poffenberger, MD, Department of Emergency Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Box 21, Torrance, CA 90509 (e-mail:

All authors and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interest in, any commercial organizations pertaining to this educational activity.

© 2012 Lippincott Williams & Wilkins, Inc.