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一例偶然发现的婴儿胆囊腺肌增生症:一种临床意义不明的不寻常超声检查发现。

A case of incidental infantile gallbladder adenomyomatosis: an unusual US finding of uncertain clinical significance.

作者信息

Drakonaki Elena, Kokkinakis Stamatios, Karageorgiou Ioannis, Maliotis Neofytos, Ioannidoy Anna, Symvoulakis Emmanouil K

机构信息

Consultant Radiologist, Department of Anatomy, European University of Cyprus Medical School, Nicosia, Cyprus.

School of Medicine, University of Crete, Greece.

出版信息

J Ultrason. 2021;20(83):e318-e321. doi: 10.15557/JoU.2020.0055. Epub 2020 Dec 18.

Abstract

Adenomyomatosis of the gallbladder is defined as hypertrophy of the gallbladder mucosal epithelium that invaginates into a thickened muscularis propria, leading to the formation of intramural diverticula. It is typically considered a benign condition most commonly affecting adults and, rarely, children. In this case report, we present a case of gallbladder adenomyomatosis in a 3-month-old infant. The diagnosis was made incidentally on ultrasound examination of the abdomen, in an otherwise asymptomatic child with no laboratory test abnormalities and no underlying disease. The purpose of this case report is to make infantile adenomyomatosis and its implications known to clinicians, as the literature on this topic is limited. To the best of our knowledge, this is the youngest reported case of adenomyomatosis in the pediatric population.

摘要

胆囊腺肌增生症被定义为胆囊黏膜上皮肥大,其向内陷入增厚的固有肌层,导致壁内憩室形成。它通常被认为是一种良性疾病,最常见于成年人,儿童罕见。在本病例报告中,我们呈现了一名3个月大婴儿患胆囊腺肌增生症的病例。该诊断是在对一名腹部进行超声检查时偶然发现的,该儿童无症状,实验室检查无异常,也无基础疾病。本病例报告的目的是让临床医生了解婴儿腺肌增生症及其影响,因为关于这一主题的文献有限。据我们所知,这是儿科人群中报道的最年轻的腺肌增生症病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/7830060/5a6d6337f47b/jou-20-83-e318-g001.jpg

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