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通过99mTc HIDA扫描检测到的婴儿期胆总管自发性穿孔。

Spontaneous perforation of the common bile duct in infancy detected by 99mTc HIDA scanning.

作者信息

Marshall D G, Brabyn D G, Vezina W C

出版信息

Can J Surg. 1984 Nov;27(6):590-1.

PMID:6498653
Abstract

Bile ascites is a rare cause of mild icterus and abdominal distension in the newborn. An indirect inguinal hernia may also occur. The authors report such a case in a 5-week-old infant. Proof was obtained by abdominal ultrasonography followed by scanning with N-(2,6-dimethyl phenyl carboxymethyl) iminodiacetic acid labelled with technetium 99m (99mTc HIDA) and paracentesis. Laparotomy was carried out at 7 weeks of age and the opening in the common bile duct was closed with excellent results.

摘要

胆汁性腹水是新生儿轻度黄疸和腹胀的罕见原因。也可能发生腹股沟斜疝。作者报告了一名5周大婴儿的此类病例。通过腹部超声检查,随后用99m锝标记的N-(2,6-二甲基苯基羧甲基)亚氨基二乙酸(99mTc HIDA)扫描和腹腔穿刺术获得了证据。患儿7周大时进行了剖腹手术,胆总管开口得以闭合,效果良好。

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