CLINICAL EVALUATION OF CHOLELITHIASIS IN YOUNG PATIENTS

概要

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Cholelithiasis, diagnosed during a period of 17 years from 1970 at our clinic by means of ERCP has amounted to 1986 cases. Of these patients with cholelithiasis only 10 or 0.6% were twenty years old or younger. Some clinical features in the young patients were noted in the followings. Male/female ratio was 1: 4. All of them had a chief complaint of abdominal pain. Concerning location of stones, they were found in the gall bladder in 5 cases or 50%, in the bile duct in 2 or 20% and in both parts in 3 or 30%. Among them 3 cases were known to be complicated with congenital choledochal cyst. Sole complaint of abdominal pain is occasionally complained at routine examination on young patients, especially on infants which usually embarrasses us in making proper judgement for the correct diagnosis. In addition, it has been described that cholelithiasis is scarcely seen among younger people, and because of this fact the disease in them has often been failed to be noticed. The clinical feature of abdominal pain is often seen as an initial chief complaint of the patients and in some cases choledocholithiasis and/or congenital choledochal cyst are found to be complicated with. It is to be emphasized, therefore, that in order to make sure of the diagnosis the combined method of abdominal ultrasonography and ERCP examination is an indispensable means for that purpose.
社団法人日本消化器内視鏡学会の論文