Brief Answer:
Please refer below
Detailed Answer:
Hi
Thanks for your query.
Gall stones in children are indeed rare and need evaluation to rule out serious underlying disorders. These consist of mostly blood disorders where red cells get destroyed easily and also liver diseases. Sometimes no cause is found and this is known as simple gall stones.
Hence we need to do
complete blood count, gamma-glutamyltransferase (GGT), amylase, urinalysis, direct and indirect bilirubin,
alkaline phosphatase, and transaminase levels. Based on these, further specific tests may be done. Treatment and long term outcome depends on the exact cause and not the stones per se.
Regarding treatment, as he is probably having pain and sonography shows inflammation along with stones, he may require surgery to remove the
gall bladder.
You need to consult a pediatric laparoscopic surgeon and a
pediatrician to proceed further.
Hope I have answered your query. I will be available to answer further followup queries, if any.