Zani Augusto, Pacilli Maurizio, Conforti Andrea, Casati Alessandra, Bosco Sandro, Cozzi Denis Andrew
Pediatric Surgery Unit, University of Rome "La Sapienza", Policlinico Umberto I, Viale Regina Elena 324, 00161 Rome, Italy.
Pediatr Dev Pathol. 2005 Sep-Oct;8(5):577-80. doi: 10.1007/s10024-005-0074-z. Epub 2005 Oct 5.
Adenomyomatosis of the gallbladder is considered an acquired pathologic condition that affects adults, with only 2 cases previously described in childhood. We report on a 5-year-old boy with incidental detection of this lesion by ultrasonography. Pathologic and clinical assessments are discussed in addition to treatment decision-making, including current insights into the relation between adenomyomatosis and malignancy of the gallbladder. The liberal use of ultrasonography in children with abdominal pain may result in detection of an increasing number of asymptomatic patients. Caregivers should be aware of this condition and its therapeutic implications in the pediatric population.
胆囊腺肌增生症被认为是一种影响成年人的后天性病理状况，此前仅有2例在儿童期被描述。我们报告了一名5岁男孩，通过超声检查偶然发现了这种病变。除了治疗决策外，还讨论了病理和临床评估，包括目前对胆囊腺肌增生症与胆囊恶性肿瘤之间关系的见解。在腹痛儿童中广泛使用超声检查可能会发现越来越多无症状的患者。护理人员应了解这种疾病及其在儿科人群中的治疗意义。
