Andrassy R J, Treadwell T A, Ratner I A, Buckley C J
Am J Surg. 1976 Jul;132(1):19-21. doi: 10.1016/0002-9610(76)90282-8.
Seventy-nine patients, twenty years old or younger, with cholecystitis underwent cholecystectomy during a five year period at Santa Rosa Medical Center. There was a considerable delay in diagnosis in many cases. Etiologic factors differed with race and age; however, the disease appears to be quite similar in adolescents and adults. Hemolytic disease was present in all five blacks but in none of the remaining seventy-four patients. Patients younger than ten years of age are more likely to have congenital anomalies or infectious etiologies for the gallbladder disease. Cholecystectomy was associated with minimal morbidity and no mortality in this series. Cholecystitis should be considered early in the child or adolescent with unexplained abdominal pain, and oral cholecystograms proved to be a safe and reliable method of diagnosis.
在圣罗莎医疗中心的五年期间，79名20岁及以下患有胆囊炎的患者接受了胆囊切除术。许多病例在诊断上有相当大的延迟。病因因素因种族和年龄而异；然而，该疾病在青少年和成年人中似乎非常相似。所有5名黑人患者都有溶血性疾病，而其余74名患者均无。10岁以下的患者患胆囊疾病更可能有先天性异常或感染性病因。在本系列中，胆囊切除术的发病率极低且无死亡病例。对于有不明原因腹痛的儿童或青少年，应尽早考虑胆囊炎，口服胆囊造影被证明是一种安全可靠的诊断方法。
