Niwa Masao, Tochii Koya
Department of Surgery, Japanese Red Cross Gifu Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2016;113(2):281-8. doi: 10.11405/nisshoshi.113.281.
We report four cases of ceftriaxone-associated biliary pseudolithiasis. All cases were treated conservatively without cholecystectomy or endoscopic retrograde cholangiopancreatography. Because conservative treatment is the preferred treatment, clinicians should be aware that biliary pseudolithiasis is possible in patients who have abdominal pain associated with gallbladder stones on imaging. Regardless of whether we are treating adults or children, it is necessary to check for a history of ceftriaxone treatment before symptom onset.
我们报告了4例头孢曲松相关的胆假性结石病例。所有病例均采用保守治疗,未行胆囊切除术或内镜逆行胰胆管造影术。由于保守治疗是首选治疗方法,临床医生应意识到,影像学检查显示有与胆囊结石相关的腹痛的患者可能存在胆假性结石。无论治疗的是成人还是儿童,在症状出现前都有必要检查头孢曲松治疗史。