Agnifili A, Mancini E, Palermo P, Gola P, Carducci G, Marino M, Ibi I, Caterino G, Rizzo F M
Dipartimento Discipline Chirurgiche, Universitá degli Studi de L'Aquila.
G Chir. 1998 Aug-Sep;19(8-9):329-33.
The Authors report a prospective study on fetal cholelithiasis, analyzing its differences with the more widely known cholelithiasis of paediatric age. The study shows that the number of cases diagnosed by ultrasonography is higher than expected (0.39%, 3 cases on 764 pregnancies). The Authors could find no correlation between fetal cholelithiasis and any maternal, obstetrical and fetal factor. They have focused attention on sonographic imaging showing clinical-instrumental correlation between echogenic material, clinical features and their evolution. The study confirms that the most common evolution results in spontaneous resolution of fetal endocholecystic pathological images. Finally, wide review of the international literature is reported on the rare, but possible clinical manifestations and their complications.
作者报告了一项关于胎儿胆石症的前瞻性研究，分析了其与更为人熟知的小儿胆石症之间的差异。该研究表明，通过超声诊断出的病例数高于预期（0.39%，764例妊娠中有3例）。作者未发现胎儿胆石症与任何母体、产科及胎儿因素之间存在关联。他们将注意力集中在超声成像上，该成像显示了回声物质、临床特征及其演变之间的临床与仪器相关性。该研究证实，最常见的演变结果是胎儿胆囊内病理性图像的自发消退。最后，报告了对国际文献的广泛综述，内容涉及罕见但可能出现的临床表现及其并发症。
