Neonatal cholelithiasis in Down syndrome: Is hypothyroidism involved? A case-report

We report a 3-month-old male with Down syndrome (DS), prolonged jaundice and poor weight gain, that showed biliary lithiasis and undiagnosed congenital hypothyroidism (CH). CH should be considered in DS, especially in presence of gastrointestinal symptoms or malformations. Clinicians should be aware of the increased risk of gallstones in hypothyroid children with DS, even in neonatal age.

*Corresponding Author: 

Dr. Franco Ricci, MD, Department of Health Sciences, Anna Meyer Children’s University Hospital, viale Pieraccini 24, University of Florence, Florence, Italy. Tel.: +39 055 5662585; Fax: +39 055 5662400; E-mail: