Haller J O, Condon V R, Berdon W E, Oh K S, Price A P, Bowen A, Cohen H L
Department of Radiology, SUNY Downstate Medical Center, Brooklyn 11203.
Radiology. 1989 Sep;172(3):621-4. doi: 10.1148/radiology.172.3.2672089.
The authors describe radiologic findings in five patients with spontaneous perforation of the common bile duct (a rare disorder). The patients were 5 weeks, 9 weeks, 3 months, 11 months, and 2 1/2 years old at presentation. The most common presenting complaints were jaundice and abdominal distention (due to ascites). Sonographic findings included ascites in three patients, a loculated fluid collection around the gallbladder in two patients, and both in one patient. The biliary tree was undilated in all patients. Results of hepatobiliary scintigraphy definitely demonstrated that intraperitoneal fluid originated from the biliary tract. Intraoperative cholangiography was used to confirm the diagnosis at surgery. All children were successfully treated with surgery. Recognition of these findings on sonograms and subsequent confirmation with scintigraphy are important to prevent delays in diagnosis of a potentially fatal condition.
作者描述了5例胆总管自发性穿孔患者（一种罕见疾病）的放射学表现。这些患者就诊时的年龄分别为5周、9周、3个月、11个月和2岁半。最常见的就诊主诉是黄疸和腹胀（由腹水引起）。超声检查结果显示，3例患者有腹水，2例患者胆囊周围有局限性液体积聚，1例患者两者均有。所有患者的胆管均未扩张。肝胆闪烁显像结果明确显示腹腔内液体源自胆道。术中胆管造影用于在手术时确诊。所有患儿均通过手术成功治愈。认识到超声检查中的这些表现并随后通过闪烁显像加以证实，对于防止延误诊断这种可能致命的疾病很重要。
