Brakohiapa Edmund Kwadwo Kwakye, Brown Wihelmina, Edzie Emmanuel Kobina Mesi, Sarkodie Benjamin Dabo, Dzefi-Tettey Klenam, Botwe Benard Ohene, Gorleku Philip Narteh
Department of Radiology, University of Ghana Medical School, Accra, Ghana.
Department of Pediatrics, Korle-Bu Teaching Hospital, Accra, Ghana.
Radiol Case Rep. 2023 Sep 13;18(11):4134-4136. doi: 10.1016/j.radcr.2023.08.083. eCollection 2023 Nov.
Infantile cholelithiasis is a rare occurrence. It is often diagnosed incidentally during ultrasonography for other conditions as most cases are asymptomatic and may be self-limiting. A few cases may however present with prolonged neonatal or infantile jaundice. We report our initial experience with an incidental case of infantile cholelithiasis in an 8-week-old male infant who was brought to our ultrasound unit in Accra, Ghana, for an abdominal ultrasound on account of conjugated hyperbilirubinemia and pigmented stools. The patient had presented initially at the children's emergency unit of the Korle-Bu Teaching Hospital, 2 days after an uneventful delivery, with a history of yellowing of the eyes, noticed on the first day of life, which necessitated the request for the ultrasound examination, leading to this rare finding of infantile cholelithiasis. The availability and use of modern sonographic equipment are likely to result in more effective detection of this incidental finding and its subsequent management.
婴儿胆结石是一种罕见的病症。由于大多数病例无症状且可能自限，所以常在因其他病症进行超声检查时偶然被诊断出来。然而，少数病例可能会出现持续性新生儿或婴儿黄疸。我们报告了一例8周大男婴偶然发现婴儿胆结石的初步经验，该男婴因结合胆红素血症和陶土样便被带到加纳阿克拉的我们的超声科进行腹部超声检查。该患者在顺产无异常情况2天后，最初在科勒-布教学医院的儿童急诊科就诊，其出生第一天就被发现眼睛发黄，这促使其进行超声检查，从而发现了这一罕见的婴儿胆结石病例。现代超声设备的可得性和使用可能会更有效地检测出这一偶然发现及其后续处理。
