Fhari J P, Valayer J
Chir Pediatr. 1984;25(1):12-6.
Milk of calcium cholecystitis is a rare entity in children. Two cases are reported here, each in a boy aged respectively 4 and 13. The symptoms were limited to abdominal pain with or without vomiting. Plain X-ray of the abdomen showed the usual milk of calcium picture, with calcified deposits within the gallbladder and an obstructing stone at the site of the gallbladder neck or the cystic duct. Surgery consisted simply of cholecystectomy with preoperative cholangiogram. Neither biochemical analysis of the gallbladder contents, nor the pathological examination of the gallbladder wall helped in determining the pathogenesis of the disease. Only four other cases of milk of calcium cholecystitis in children have been found by the authors in the literature, where a number of adult cases have been described.
儿童胆囊钙乳症是一种罕见的病症。本文报告了两例,分别为一名4岁男孩和一名13岁男孩。症状仅限于腹痛,伴或不伴有呕吐。腹部平片显示典型的胆囊钙乳影像,胆囊内有钙化沉积物,胆囊颈部或胆囊管处有阻塞性结石。手术仅为胆囊切除术并术前行胆管造影。胆囊内容物的生化分析及胆囊壁的病理检查均无助于确定该病的发病机制。作者在文献中仅发现另外4例儿童胆囊钙乳症病例,而文献中已描述了许多成人病例。