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Anales de la Facultad de Ciencias Médicas (Asunción)

Print version ISSN 1816-8949


BOGADO, Nair Raquel; ZACUR, Mabel Sofía  and  SANCHEZ, Susana Florentina. Prevalent symptoms and risk factors of gallstones in pediatric patients at a reference hospital. An. Fac. Cienc. Méd. (Asunción) [online]. 2020, vol.53, n.3, pp.25-32. ISSN 1816-8949.


Gallstones are considered infrequent in childhood; however, 50% of young adults with gallbladder disease had their first symptoms during this period. There are few studies in the pediatric population about this pathology in Paraguay.


To determine the prevalent symptoms and the presence of predisposing factors in children and adolescents with gallstones at a referral hospital.

Materials and methods:

it is a cross-sectional, retrospective, descriptive, observational study; based on clinical records of patients hospitalized between January 2014 and January 2019, non-probabilistic sampling of consecutive cases of patients who meet the inclusion criteria.


58 patients with the diagnosis of gallstones were found, of which 3 (5.2%) were preschool children, 9 (15.5%) children and 46 (79.3%) adolescents. There was a predominance of females 67.2% (39/58) over males 33% (19/58). As for clinical manifestations, 57 patients (98%) reported abdominal pain, 30 (51%) vomiting and a lesser extent coursed with jaundice, dark urine or hypocolia. Regarding the nutritional profile, 1 patient (8,6%) presented malnutrition and 29 (50%) were overweight or obese. In relation to height, 5 (8.6%) were short stature. Only 4 patients (6.8%) had a family history of gallstones. None of them had complications or were associated to parenteral nutrition. 2 patients had received broad spectrum antibiotics.


Gallstones occurred mainly in female adolescents. In most cases was idiopathic and, abdominal pain was the most frequent symptom.

Keywords : gallstones; cholelithiasis; children; pediatrics..

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