急性膵炎を伴った小児胆石症の2例

概要

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Two pediatric patients with acute pancreatitis are described. The disease was speculated to have been induced by cholelithiasis. The first patient was a 5-year-old girl, who complained of upper abdominal pain and vomiting. The levels of serum and urine amylase were markedly elevated, indicating that she had pancreatitis. Ultrasonography revealed the dilatation of both the gall bladder and common bile duct. ERCP showed a small gall stone in the common bile duct. The stone was removed by operation, which was mainly composed of cholesterol. The second patient was a 15-year-old boy, who had , nausea, vomiting and upper abdominal pain. He was diagnosed as having pancreatitis because of the extremely high values of amylase and lipase both in the serum and urine. A plain X-ray film of the abdomen and ultrasonography revealed cholelithiasis. The stone was spontaneously excreted in the feces after 7 days of observation, which contained only a tiny amont of calcium phosphate.
日本小児外科学会の論文
1986-08-20