Acute acalculous cholecystitis: an unusual presentation of vitamin B12 deficiency

Authors

  • Shailesh R. Barot Department of Paediatrics, Ankur Paediatric Multispeciality Hospital, Virar West, Maharashtra, India
  • Vaibhavi S. Barot Department of Paediatrics, Ankur Paediatric Multispeciality Hospital, Virar West, Maharashtra, India
  • Manohar Patil Department of Paediatrics, Ankur Paediatric Multispeciality Hospital, Virar West, Maharashtra, India
  • Jagravi Chorgh Department of Paediatrics, Ankur Paediatric Multispeciality Hospital, Virar West, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20211688

Keywords:

Acute acalculous cholecystitis, Vitamin B12 deficiency, Immune mediated disorders

Abstract

Paediatric cases of acute acalculous cholecystitis (AAC) are due to infectious diseases or immune mediated disorders. Hereby, we present a case of 6 months old infant who presented with excessive crying with irritability and tenderness over right hypochondrium region with a palpable liver. Investigations revealed   AAC and anaemia. In the work-up of anaemia, vitamin B12 deficiency was diagnosed and after giving treatment with vitamin B12, anaemia resolved as well as AAC. Through this case report we intent to emphasize the possibility of vitamin B12 deficiency presenting as AAC.

References

Stabler SP, Allen RH, Savage DG, Lindenbaum J. Clinical spectrum and diagnosis of cobalamin deficiency. Blood. 1990;76(5):871-81.

Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013;368(2):149-60.

Allen LH. How common is vitamin B-12 deficiency? Am J Clin Nutr. 2009;89(2):693-6.

Ghai OP, Paul VK, Bagga A. Cahpter 11. Ghai Essential Paediatrics. 7th ed. Delhi: CBS Publisher and Distributors Pvt Ltd.; 2010: 302.

Kocaoglu C, Akin F, Caksen H, Böke SB, Arslan S, Aygün S. Cerebral atrophy in a vitamin B12-deficient infant of a vegetarian mother. J Health Popul Nutr. 2014;32(2):367-71.

Nasreen A, Agarwalla Kumar Sunil, Muhamed Shabeer, Pandia kumar Hemat et al. Infantile Spasm- Rare Presentation of Vitamin B12 Encephalopathy. JMSCR. 5(5):21583-6.

Andrès E, Affenberger S, Zimmer J, Vinzio S, Grosu D, Pistol G, et al. Current hematological findings in cobalamin deficiency. A study of 201 consecutive patients with documented cobalamin deficiency. Clin Lab Haematol. 2006;28(1):50-6.

Cheema A, Bramson J, Bajwa R, Hossain MA, Asif A. Hemolytic Anemia an Unusual Presentation of Vitamin B12 Deficiency. J Hematol Thrombo Dis 2018;6(1):1000285.

Belen B, Hismi BO, Kocak U. Severe vitamin B12 deficiency with pancytopenia, hepatosplenomegaly and leukoerythroblastosis in two Syrian refugee infants: a challenge to differentiate from acute leukaemia. BMJ Case Rep. 2014; 2014203742.

Tsakayannis DE, Kozakewich HP, Lillehei CW. Acalculous cholecystitis in children. J Pediatr Surg. 1996;31(1):127-30.

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Published

2021-04-27

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Section

Case Reports