Stringer M D, Lim P, Cave M, Martinez D, Lilford R J
Department of Paediatric Surgery, Leeds General Infirmary, England.
J Pediatr Surg. 1996 Nov;31(11):1589-91. doi: 10.1016/s0022-3468(96)90189-x.
Three male fetuses examined sonographically in late gestation to assess growth and well-being were found to have evidence of gallbladder cholelithiasis. Postnatally, all three were asymptomatic but they had variable sonographic findings. In two, the abnormalities noted sonographically had resolved spontaneously by 6 weeks of age, but the third patient had a persistent gallbladder "calculus" at 6 months. All three boys, now aged 9 months to 4 years, remain well, with no evidence of biliary tract disease. Sonographic evidence of fetal gallbladder cholelithiasis may be found in late gestation, is more common among boys, and frequently is associated with benign spontaneous resolution.
对3例晚期妊娠的男性胎儿进行超声检查以评估生长发育和健康状况,发现有胆囊结石的迹象。出生后,这3例均无症状,但超声检查结果各异。其中2例在6周龄时超声检查发现的异常已自行消失,但第3例患者在6个月时胆囊“结石”仍持续存在。现在这3名男孩年龄在9个月至4岁之间,均状况良好,无胆道疾病迹象。胎儿胆囊结石的超声证据在妊娠晚期可能会被发现,在男孩中更为常见,且常与良性自发消退有关。