van Weissenbruch M M, Kneepkens C M, Ekkelkamp S
Afd. Kindergeneeskunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Ned Tijdschr Geneeskd. 1995 Sep 2;139(35):1793-5.
In two infants presenting with non-specific abdominal symptoms, three months and four weeks of age, respectively, cholecystitis was suspected on ultrasound examination of the abdomen and confirmed and treated by surgery. In the first patient the cholecystitis was secondary to cholelithiasis. The second patient was shown to have an infected gallbladder due to an anatomical anomaly of the cystic duct. It is concluded that even in young infants, cholecystitis as a complication of congenital or neonatal pathology may underlie abdominal symptoms. Ultrasonography of the abdomen is an important diagnostic aid and cholecystectomy is the treatment of choice.
在两名分别为3个月和4周大、出现非特异性腹部症状的婴儿中，腹部超声检查怀疑为胆囊炎，并通过手术确诊和治疗。首例患者的胆囊炎继发于胆结石。第二例患者因胆囊管解剖异常导致胆囊感染。得出的结论是，即使在幼儿中，作为先天性或新生儿病理并发症的胆囊炎也可能是腹部症状的潜在原因。腹部超声检查是重要的诊断辅助手段，胆囊切除术是首选治疗方法。
