Kendall R S, Chapoy P R, Busuttil R W, Kolodny M, Ament M E
Am J Dis Child. 1980 Sep;134(9):851-4. doi: 10.1001/archpedi.1980.02130210035010.
A 13-year-old boy had obstructive jaundice following several episodes of blunt abdominal trauma. At surgery, a stricture of the common bile duct, for which no other cause could be found, was identified and corrected. We describe our approach to the problem of obstructive jaundice in childhood. In most cases, the application of ultrasonography or computerized tomography and appropriate transhepatic cholangiography can yield a presumptive diagnosis before surgical exploration.
一名13岁男孩在经历几次腹部钝性创伤后出现梗阻性黄疸。手术中,发现并纠正了胆总管狭窄,未发现其他病因。我们描述了处理儿童梗阻性黄疸问题的方法。在大多数情况下,应用超声检查、计算机断层扫描以及适当的经肝胆管造影术,可在手术探查前做出初步诊断。