Lilly J R
J Pediatr Surg. 1980 Aug;15(4):577-80. doi: 10.1016/s0022-3468(80)80777-9.
Of 62 infants and children undergoing biliary tract operations 4 had common bile duct stones. The primary diseases in the four patients were inspissated bile plug, correctable biliary atresia, neonatal hepatitis, and choledochal cyst, respectively. Biliary obstruction secondary to choledocholiths was total or near total in three patients. Nevertheless, diagnosis was unsuspected, leading to major delays in treatment and probably, irreversible liver damage in two patients. The stones were pigmented in all instances; their genesis believed to be a consequence of hemolysis in three patients and infection in one. Surgical extraction of the biliary calculi was successful by standard methods. All patients are currently alive; one by virtue of liver transplantation. Infants and children with chronic liver disease or biliary tract malformations are predisposed to formation of biliary calculi.
在接受胆道手术的62例婴幼儿中，有4例患有胆总管结石。这4例患者的原发性疾病分别为浓缩胆汁栓、可纠正性胆道闭锁、新生儿肝炎和胆总管囊肿。3例患者因胆总管结石继发的胆道梗阻为完全性或近乎完全性。然而，诊断未被怀疑，导致治疗严重延误，可能使2例患者出现不可逆的肝损伤。所有病例的结石均为色素性结石；3例患者结石的成因被认为是溶血的结果，1例是感染所致。通过标准方法成功地进行了胆道结石的手术取出。所有患者目前均存活；1例是通过肝移植存活的。患有慢性肝病或胆道畸形的婴幼儿易患胆石症。
