Odom F C, Oliver B B, Kline M, Rogers W
South Med J. 1976 Oct;69(10):1299-1300. doi: 10.1097/00007611-197610000-00014.
Cholecystitis is uncommon in individuals under 21 years of age and, when present, usually is associated with pregnancy, sepsis, metabolic defects, hemolytic anemia, or hereditary disorders. Over the past 4 1/2 years, 92 patients 20 years of age and younger have been admitted to our institution with gallbadder disease. Of these patients, 88 were female and 76 were of Mexican-American origin. Only two of these individuals had associated hemolytic anemia. Seventy-six of these females had been pregnant at least once, and 57 were more than 10 pound overweight. Cholecystectomy was done on 88 of these patients, and cholelithiasis was found in 86. There were 28 explorations of the common bile duct, 18 of which were positive. This series represents an earlier onset of cholelithiasis in this population.
胆囊炎在21岁以下的人群中并不常见，一旦出现，通常与妊娠、败血症、代谢缺陷、溶血性贫血或遗传性疾病有关。在过去的4年半里，有92名20岁及以下的患者因胆囊疾病入住我们的机构。在这些患者中，88名是女性，76名是墨西哥裔美国人。这些患者中只有两人患有溶血性贫血。这些女性中有76人至少怀孕过一次，57人体重超重超过10磅。其中88名患者接受了胆囊切除术，86人发现有胆结石。对胆总管进行了28次探查，其中18次呈阳性。该系列病例表明该人群胆结石发病年龄较早。
