Hayek H W, Fleischhauer G
Klin Padiatr. 1975 Jul;187(4):391-3.
Several pediatric textbooks mention hemolytic anemia as the most frequent cause of cholelithiasis. However cholesterol containing concrements seem to be more frequent. In lack of jaundice the diagnosis of gallstones is difficult, especially, when appearing as uncharacteristic abdominal pain. In a case of a ten year old girl the basic diagnosis of cholelithiasis lasted two years. Wrong diagnoses (appendicitis, duodenal ulcer) associated diseases (carditis, complete heart block) and minor troubles (menarche, oxyuriasis, constipation) were responsible for this long period. Oral cholecystography brought on definitive diagnosis. Liberal indication of this investigation is recommended, especially in corpulent girls.
几本儿科教科书提到溶血性贫血是胆石症最常见的病因。然而，含胆固醇的结石似乎更为常见。在无黄疸的情况下，胆结石的诊断很困难，尤其是当表现为不典型腹痛时。在一名10岁女孩的病例中，胆石症的初步诊断持续了两年。错误的诊断（阑尾炎、十二指肠溃疡）、相关疾病（心肌炎、完全性心脏传导阻滞）和一些小问题（月经初潮、蛲虫病、便秘）导致了诊断延误。口服胆囊造影术带来了明确的诊断。建议广泛应用这项检查，尤其是对于肥胖女孩。
