Esper E, Kaufman D B, Crary G S, Snover D C, Leonard A S
Department of Surgery, University of Minnesota Variety Club Children's Hospital, Minneapolis.
J Pediatr Surg. 1992 Dec;27(12):1560-2. doi: 10.1016/0022-3468(92)90507-4.
This report describes the case of a 6-year-old girl with septate gallbladder and cholelithiasis without cholecystitis, an uncommon condition associated with chronic abdominal pain. The absence of smooth muscle components within the gallbladder septae supports an embryogenic abnormality that may have occurred early during the maturation of the gallbladder lumen. In concert with other predisposing factors, the septa may have induced gallstones and, thus, the patient's symptoms. Although rare, gallbladder abnormalities may cause abdominal pain in children and should be included in the differential diagnosis. Early ultrasound should be obtained as part of a workup if gallbladder abnormalities are suspected. Elective cholecystectomy is curative.
本报告描述了一名6岁女童的病例，该女童患有分隔胆囊和胆结石，但无胆囊炎，这是一种与慢性腹痛相关的罕见病症。胆囊隔内缺乏平滑肌成分，提示可能在胆囊腔成熟早期发生了胚胎发育异常。与其他诱发因素共同作用，这些隔膜可能诱发了胆结石，进而导致患者出现症状。尽管罕见，但胆囊异常可能导致儿童腹痛，应纳入鉴别诊断。如果怀疑有胆囊异常，应在检查过程中尽早进行超声检查。择期胆囊切除术可治愈该病。
