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A 33-year-old male asked:

My 4 year old daughter's liver enzymes are abnormal, and also has gallbladder stones. what could have caused that?

2 doctor answers4 doctors weighed in
Dr. Bruce J. Stringer
Radiology 47 years experience
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.
Dr. Ralph Parker
General Surgery 31 years experience
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.

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Last updated Aug 14, 2020

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