关键词: Acute cholecystitis Biliary peritonitis Gallbladder perforation Pediatrics Acute cholecystitis Biliary peritonitis Gallbladder perforation Pediatrics

来  源:   DOI:10.1016/j.ijscr.2022.107765

Abstract:
UNASSIGNED: Gallbladder perforations are infrequently encountered in the pediatric group but can be a cause of peritonitis with significant morbidity and mortality if not diagnosed and managed promptly.
METHODS: We present a case of a 10-year-old female who presented with peritonitis due to a perforated gallbladder diagnosed by CT-scan. She was managed surgically successfully.
UNASSIGNED: Gallbladder perforation due to cholecystitis is usually seen in the elderly population but is uncommon among the pediatric population. Mortality rate can be as high as 26 % hence early diagnosis is vital. Management is mostly surgical as seen in the index case.
CONCLUSIONS: Clinicians should keep gallbladder perforation in mind as a differential diagnosis of acute abdomen in children although uncommon.
摘要:
未经证实:小儿组很少遇到胆囊穿孔,但如果不及时诊断和治疗,可能是腹膜炎的一个原因,具有显著的发病率和死亡率。
方法:我们介绍了一例10岁女性,通过CT扫描诊断为胆囊穿孔导致腹膜炎。她手术成功。
未经证实:胆囊炎引起的胆囊穿孔通常见于老年人群,但在儿科人群中并不常见。死亡率可高达26%,因此早期诊断至关重要。如索引病例所示,管理主要是手术。
结论:临床医生应将胆囊穿孔作为儿童急腹症的鉴别诊断,尽管并不常见。
公众号