Pariente D, Bernard O, Gauthier F, Brunelle F, Chaumont P
Clinics of Pediatrics, Centre Hospitalier de Bicetre, Le Kremlin Bicetre, France.
Pediatr Radiol. 1989;19(2):104-7. doi: 10.1007/BF02387896.
The authors report a series of 10 infants aged from 20 days to 11 months, presenting with CBD lithiasis, explored and cured by radiological procedure. US showed BD dilatation in 9 cases, sludge in the GB in 5 and in the CBD in 2. Histological findings of cholangitis were present in 4 infants. PTC was performed by GB puncture in 6 and BD puncture in 4. There was evidence of a filling defect in CBD but no anatomical anomaly. Blackish concretions were removed through a side-holes catheter or pushed in the duodenum by washing with saline. An external drainage was left a few days to allow control cholangiogram. Three infants underwent subsequent surgery but no residual lithiasis was found. No recurrence has occurred with a follow-up ranging from 10 months to 7 years. Mechanisms of this entity are discussed.
作者报告了一系列10例年龄在20天至11个月之间的婴儿，这些婴儿患有胆总管结石，通过放射学方法进行了探查和治疗。超声检查显示9例有胆管扩张，5例胆囊有胆泥，2例胆总管有胆泥。4例婴儿有胆管炎的组织学表现。6例行胆囊穿刺经皮经肝胆道造影（PTC），4例行胆管穿刺PTC。胆总管有充盈缺损的证据，但无解剖异常。通过侧孔导管取出黑色结石，或用盐水冲洗将其推入十二指肠。留置外引流管数天以便进行控制胆管造影。3例婴儿随后接受了手术，但未发现残留结石。随访时间为10个月至7年，未发生复发。本文讨论了该疾病的发病机制。
