Stephenson C A, Atkinson G, Ball T I
Emory University School of Medicine, Department of Radiology, Egleston Children's Hospital, Atlanta, Georgia.
Pediatr Radiol. 1991;21(5):358-60. doi: 10.1007/BF02011487.
Perforation of the gallbladder is a known sequela of acalculus cholecystitis or trauma. A perforated gallbladder may be acute or chronic and can present with vague symptoms making the diagnosis difficult. With delayed recognition there is increased morbidity and mortality. The preoperative diagnosis requires an awareness of the symptoms and signs of acalculus cholecystitis as well as factors that predispose to the development of the diseased gallbladder. Awareness of the radiographic findings associated with a perforated gallbladder and acalculus cholecystitis is also important. The following is a case report of a child with a perforated gallbladder with a radiographic presentation not previously described. A review of the clinical pathogenesis and reported radiographic findings is also included.
胆囊穿孔是无结石性胆囊炎或外伤的一种已知后遗症。穿孔性胆囊可为急性或慢性，症状不明确，诊断困难。若诊断延迟，发病率和死亡率会增加。术前诊断需要了解无结石性胆囊炎的症状和体征以及易患患病胆囊的因素。了解与穿孔性胆囊和无结石性胆囊炎相关的影像学表现也很重要。以下是一例胆囊穿孔患儿的病例报告，其影像学表现此前未见报道。本文还包括对临床发病机制及已报道的影像学表现的综述。
