Bondonny J M, Garbe J F, Bechraoui T, Micheau M, Candito D
Chir Pediatr. 1979;20(1):31-6.
Acute acalculous gallbladder disease is rarely encountered in children. Two observations permit a review of its clinical, diagnostic, and therapeutic aspects. Acute acalculous cholecystitis and acute gallbladder distension present clinically in a similar fashion, although, in the latter the fever is usually absent and there is a history of episodic pain. The pathogenesis of these affections remains uncertain but generalized infection and anomalies of the cystic duct seem to be favoring circumstances. The diagnosis, rarely initially made, could be confirmed by oral cholecystography showing an non visualized gallbladder. Surgery is necessary in order to confirme or refute the diagnosis. The therapeutic approach can be either the simple drainage of the gallbladder or a cholecystectomy. Due to the risk of allowing a cervicocystic obstacle persist, it seems that a cholecystectomy, which is well tolerated by the child, would be preferable.
急性非结石性胆囊疾病在儿童中很少见。两项观察结果有助于对其临床、诊断和治疗方面进行回顾。急性非结石性胆囊炎和急性胆囊扩张在临床上表现相似，不过，后者通常无发热，且有阵发性疼痛病史。这些病症的发病机制尚不确定，但全身感染和胆囊管异常似乎是促成因素。这种诊断很少能在最初就做出，口服胆囊造影显示胆囊不显影可确诊。手术对于确诊或排除诊断很有必要。治疗方法可以是单纯胆囊引流或胆囊切除术。由于存在胆囊管梗阻持续存在的风险，似乎儿童耐受性良好的胆囊切除术更为可取。
