Avni E F, Rypens F, Cohen E, Pardou A
Department of Radiology, University Clinics of Brussels, Erasme Hospital, Belgium.
Pediatr Radiol. 1991;21(3):179-81. doi: 10.1007/BF02011041.
The authors report a new sonographic pattern found in association with neonatal necrotizing enterocolitis in 5 newborns: hyperechogenicities around the gallbladder. The pattern probably corresponds to extension of the disease to the perivesicular space. The most probable hypothesis for that extension is diffusion by contiguity through the lesser sac and/or the right gutter. The hyperechogenicities could be related to the foamy infiltrate typical of NEC. Air within the pericholecystic vascular system similar to portal air could be another (less probable) explanation.
作者报告了在5例新生儿坏死性小肠结肠炎中发现的一种新的超声图像模式：胆囊周围高回声。这种模式可能对应于疾病扩展至囊周间隙。这种扩展最可能的假说是通过网膜囊和/或右结肠旁沟的连续性扩散。高回声可能与坏死性小肠结肠炎典型的泡沫样浸润有关。胆囊周围血管系统内类似于门静脉积气的气体可能是另一种（可能性较小）的解释。
