Choi Y S, Sharma B
Combined Medicine/Pediatric Residency Program, William Beaumont Army Medical Center, El Paso, TX 79920-5001.
South Med J. 1989 Mar;82(3):397-8. doi: 10.1097/00007611-198903000-00032.
A 36-month-old boy had acute gallbladder hydrops in association with mucocutaneous lymph node syndrome. A review of 46 other cases of this association has shown that patients having MLNS with gallbladder hydrops are older than those without gallbladder hydrops. The diagnosis is suggested by abdominal symptoms and abnormal results of liver function tests. The diagnosis is confirmed by ultrasonography, which shows the gallbladder to be twice the normal size. Cardiac complications may be increased. Treatment is largely supportive, but cholecystostomy is the procedure of choice in cases requiring operative intervention.
一名36个月大的男孩患有与黏膜皮肤淋巴结综合征相关的急性胆囊积水。对其他46例这种关联病例的回顾显示，患有黏膜皮肤淋巴结综合征且伴有胆囊积水的患者比没有胆囊积水的患者年龄更大。腹部症状和肝功能检查异常结果提示该诊断。超声检查可确诊，其显示胆囊大小为正常的两倍。心脏并发症可能会增加。治疗主要是支持性的，但在需要手术干预的病例中，胆囊造瘘术是首选的手术方式。
