Matsui A, Nakamura M, Aihara T, Furuse M, Sasaki N, Arakawa Y, Yanagisawa M, Makino S
Department of Paediatrics, Jichi Medical School, Tochigi, Japan.
Acta Paediatr Jpn. 1994 Jun;36(3):294-6. doi: 10.1111/j.1442-200x.1994.tb03184.x.
Hepatic calcification was found in an anicteric infant with biliary atresia after hepatic portoenterostomy. When she was 2 years of age, ultrasonography detected an echogenic structure with acoustic shadowing. Computerized tomography located it at the proximal portion of Segment 6 in the right lobe. Although both techniques failed to exhibit dilatation of the peripheral bile ducts, we believe intrahepatic cholelithiasis provides the most likely diagnosis. Although seven cases with biliary atresia were reported to have this complication, all of them were icteric when the diagnosis was confirmed. The patient should be carefully followed up since the succeeding stones may cause jaundice by obstructing the main duct.
在一名患有胆道闭锁的无黄疸婴儿行肝门肠吻合术后发现肝脏钙化。她2岁时，超声检查发现一个伴有声影的强回声结构。计算机断层扫描将其定位在右叶第6段的近端。尽管两种检查技术均未显示外周胆管扩张，但我们认为肝内胆结石是最可能的诊断。虽然据报道有7例胆道闭锁患者出现这种并发症，但确诊时他们均有黄疸。由于后续结石可能阻塞主胆管而导致黄疸，因此应对该患者进行密切随访。
