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新生儿胆石症,与双胎贫血和红细胞增多序列的罕见关联:一例报告。

Neonatal cholelithiasis, an unusual association with twin anemia and polycythemia sequence: A case report.

作者信息

Kaur S, Singh P, Yusuf K

机构信息

Section of Neonatology, Department of Pediatrics, Alberta Health Services, Calgary, AB, Canada.

Lifecycle Safety, IQVIA, Mississauga, ON, Canada.

出版信息

J Neonatal Perinatal Med. 2025 Jul;18(4):395-398. doi: 10.1177/19345798251337351. Epub 2025 Apr 24.

DOI:10.1177/19345798251337351
PMID:40272222
Abstract

Gallstones are rarely seen in preterm neonates with most cases reported in term singletons without any identifiable risk factors. Although most cases are self-resolving, neonatal gallstones can be associated with significant complications. We report a case of 34-week gestation monochorionic diamniotic twins with twin anemia-polycythemia sequence (TAPS) where the recipient twin presented with gallstones on the first day of life. To the best of our knowledge, this is the first case of gallstones in preterm twins following TAPS.

摘要

早产新生儿中很少见到胆结石,大多数病例报告于足月单胎且无任何可识别风险因素的情况。尽管大多数病例可自行缓解,但新生儿胆结石可能会伴有严重并发症。我们报告一例孕34周的单绒毛膜双羊膜囊双胞胎,患有双胎输血综合征(TAPS),其中受血儿双胞胎在出生第一天就出现了胆结石。据我们所知,这是首例TAPS后早产双胞胎出现胆结石的病例。

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本文引用的文献

1
Incidental ultrasound finding of cholelithiasis in an 8-week-old infant: A case report.8周龄婴儿胆囊结石的超声偶然发现:1例病例报告。
Radiol Case Rep. 2023 Sep 13;18(11):4134-4136. doi: 10.1016/j.radcr.2023.08.083. eCollection 2023 Nov.
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Pathophysiology, diagnosis, and management of twin anemia polycythemia sequence in monochorionic multiple gestations.单绒毛膜多胎妊娠中双胎贫血-多血序列症的病理生理学、诊断和处理。
Best Pract Res Clin Obstet Gynaecol. 2022 Nov;84:115-126. doi: 10.1016/j.bpobgyn.2022.03.012. Epub 2022 Mar 30.
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The natural history of fetal gallstones: a case series and updated literature review.
胎儿胆石症的自然病程:病例系列及文献更新综述。
J Matern Fetal Neonatal Med. 2022 Dec;35(24):4755-4762. doi: 10.1080/14767058.2020.1863366. Epub 2020 Dec 16.
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Fetal Cholelithiasis: Antenatal Diagnosis and Neonatal Follow-Up in a Case of Twin Pregnancy - A Case Report and Review of the Literature.胎儿胆结石:双胎妊娠病例的产前诊断与新生儿随访——病例报告及文献综述
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Ultrasound Obstet Gynecol. 2012 Jun;39(6):723-5. doi: 10.1002/uog.10063. Epub 2012 Mar 22.
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Polycythaemia in infants of diabetic mothers: β-hydroxybutyrate stimulates erythropoietic activity.糖尿病母亲婴儿的红细胞增多症:β-羟基丁酸刺激红细胞生成活性。
J Int Med Res. 2011;39(3):815-21. doi: 10.1177/147323001103900314.
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Asymptomatic neonatal cholelithiasis.无症状新生儿胆石症。
Indian J Pediatr. 2001 Jan;68(1):91-3. doi: 10.1007/BF02728871.
9
Fetal gallstones.胎儿胆结石
J Pediatr Surg. 1996 Nov;31(11):1589-91. doi: 10.1016/s0022-3468(96)90189-x.
10
Cholelithiasis in newborns and infants.新生儿及婴儿胆石症
J Pediatr Surg. 1992 Oct;27(10):1305-7. doi: 10.1016/0022-3468(92)90281-b.