克罗恩病中的无结石性胆囊炎

Acalculous cholecystitis in Crohn's disease.

作者信息

Hyams J S, Baker E, Schwartz A N, Ricci A, McGowan G

机构信息

Department of Pediatrics, Hartford Hospital, CT 06115-0729.

出版信息

J Adolesc Health Care. 1989 Mar;10(2):151-4. doi: 10.1016/0197-0070(89)90107-1.

DOI:10.1016/0197-0070(89)90107-1

PMID:2647689

Abstract

A 15-year-old boy with Crohn's ileocolitis developed marked gallbladder enlargement. Ultrasonographic findings were consistent with acalculous cholecystitis (AAC) or hydrops. At laparotomy a gangrenous gallbladder was found. The diagnostic modalities currently used to distinguish between hydrops, a benign condition generally treated expectantly, and AAC, a potentially life-threatening condition requiring surgical treatment are reviewed. Failure to distinguish between these two conditions with acalculous gallbladder enlargement and similar clinical and radiologic features may have serious consequences.

摘要

一名患有克罗恩病性回结肠炎症的15岁男孩出现明显的胆囊增大。超声检查结果与无结石性胆囊炎（AAC）或胆囊积水相符。剖腹手术时发现胆囊坏疽。本文回顾了目前用于区分胆囊积水（一种通常采用保守治疗的良性病症）和AAC（一种需要手术治疗的潜在危及生命的病症）的诊断方法。对于无结石性胆囊增大且具有相似临床和放射学特征的这两种病症，如果无法进行区分，可能会产生严重后果。