DOI: https://dx.doi.org/10.18203/2349-2902.isj20220649
Published: 2022-02-28

Cholelithiasis with epigastric hernia in down’s syndrome: a case report

Jeevan Kankaria, Santosh Madagond

Abstract


Down’s syndrome is associated with various congenital anomalies, musculoskeletal abnormalities and also various anatomical variation in organ systems. In this report we are presenting a case of cholelithiasis with Epigastric hernia in 42 years Male down’s syndrome patient, on laparoscopic exploration found multiple rectus sheath defects in epigastric region and Moynihan hump. A rare case of Down’s syndrome with multiple anterior abdominal wall defects.


Keywords


Down’s syndrome, Cholelithiasis, Moynihan hump, Epigastric hernia

Full Text:

PDF

References


Stoll C, Dott B, Alembik Y, Roth MP. Associated congenital anomalies among cases with Down syndrome. Eur J Med Genet. 2015;58(12):674-80.

Puri P, Guiney EJ. Intrahepatic biliary atresia in Down's syndrome. J Pediatr Surg. 1975;10(3):423-4.

Martín Pérez JA, Domínguez Rodríguez JA, De Alba Cruz I, Lara Valdés AJ, Sánchez Baltazar AL, Perna Lozada L. Moynihan's Lump as an unusual variant of right hepatic artery during a laparoscopic cholecystectomy approach. A case report. Int J Surg Case Rep. 2021;85:106221.

Toscana E, Trivellini V, Andrio G. Arch Dis Child. 2001;85(3):242-3.

Tasdemir HA, Cetinkaya MC, Caferpolat, Belet U, Kalayci AG, Akbar S. J Pediatr Gastroenterol Nutr. 2004;39(2):187-91.

Bertapelli F, Pitetti K, Agiovlasitis S, Guerra-Junior G. Overweight and obesity in children and adolescents with Down syndrome-prevalence, determinants, consequences, and interventions: A literature review. Res Dev Disabil. 2016;57:181-92.

A Ravel, C Mircher, A-S Rebillat, C Cieuta-walti, A Megarbane. Arch Pediatr. 2020;27(1):53-60.

Rescorda FJ. Cholelithiasis, cholecystitis, and common bile duct stones. Curr Opin Pediatr. 1997;9:276-82.