de Agustín J C, Ollero Fresno J C, Taoubeh K A, Mínguez A
Servicio de Cirugía Pediátrica, Hospital Nacional Infantil Niño Jesús, Madrid.
Cir Pediatr. 1994 Jan;7(1):50-1.
A 5 year old patient, without any lithogenic antecedent, suffered a trauma, resulting in a shrunken fracture of the left parietal bone, and a splenic parenchymal hematoma. A hemoperitoneum developed at the 3rd postoperation day, with an overall blood loss of 15% of the total blood volume. At the 6th day a well formed biliary calculi was detected in the gallbladder. As the patient remain asymptomatic related to his cholelithiasis, an ultrasound follow-up was instituted. At 3 month postinjury all biliary stones dissolved completely. In this report, the etiopathogenic factors responsible of stone formation in the biliary tree, and current therapeutic recommendations are reviewed.
一名5岁患者，既往无任何结石形成病史，遭受外伤，导致左顶骨凹陷性骨折和脾实质血肿。术后第3天出现腹腔积血，总失血量占总血容量的15%。第6天在胆囊中检测到一枚形态完整的胆结石。由于患者与胆结石相关的症状未发作，遂进行超声随访。受伤后3个月，所有胆结石完全溶解。本报告回顾了胆道结石形成的病因因素及当前的治疗建议。
