A 33-year-old male asked:
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my 4 year old daughter's liver enzymes are abnormal, and also has gallbladder stones. what could have caused that?

2 doctor answers
Dr. Bruce J. Stringer
46 years experience Radiology
Multiple Causes: Hemolytic disease, hepatobiliary disease, obesity, prolonged parenteral nutrition, abdominal surgery, trauma, ileal resection, crohn's disease, and sepsis all may lead to an increased incidence of gallstones in the pediatric population. The first step would probably be a hematology evaluation.
Answered on Aug 14, 2020
Dr. Ralph Parker
30 years experience General Surgery
Hematology eval?: Gallstones in a 4 year-old are uncommon, but when they do occur, it is often not due to cholesterol stone like in adults. They may be pigment stones that result from abnormal breakdown of red blood cells. Hereditary spherocytosis and other disorders can do this and consult by a hematologist may help, as could a pediatric gastroenterologist/hepatologist.
Answered on Jun 27, 2014
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