Prenatal detection of gallstones

Abbitt, Patricia L.; McIlhenny, Joan

doi:10.1002/jcu.1870180313

Cited by 18 publications

(15 citation statements)

References 6 publications

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“…The incidence of ceftriaxone induced pseudolithiasis is 15% to 46% in various prospective studies (38)(39)(40)(41)(42). Usually pseudoliths appear after 6 (range, 3 to 22) days of therapy and disappear after 15 (range, 2-63) days of discontinuation of therapy (35,36).…”

Section: Ceftriaxone-associated Biliary Pseudolithiasismentioning

confidence: 97%

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Gallstone disease in children

Poddar

2010

Indian Pediatr

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the etiologies of cholelithiasis are hemolytic (20% -30%), other known etiology (40%-50%) such as total parenteral nutrition, ileal disease, congenital biliary diseases, and idiopathic (30-40 %). Spontaneous resolution of gallstones is frequent in infants and hence a period of observation is recommended even for choledocholithiasis. Children with gallstones can present with typical biliary symptoms (50%), nonspecific symptoms (25%), be asymptomatic (20%) or complicated (5% -10%). Cholecystectomy is useful in children with typical biliary symptoms but is not recommended in those with non-specific symptoms. Prophylactic cholecystectomy is recommended in children with hemolytic disorders.

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Section: Ceftriaxone-associated Biliary Pseudolithiasismentioning

confidence: 97%

“…Other possible predisposing factors are: use of narcotics in pregnant women, hemolytic anemia, blood group incompati-bility, structural abnormalities like choledochal cyst, pregnancy induced cholestasis, etc. (42,43).…”

Section: Fetal Cholelithiasismentioning

confidence: 97%

Gallstone disease in children

Poddar

2010

Indian Pediatr

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“…Many gallstones resolve spontaneously in utero or soon after birth, and those that persist are rarely symptomatic. [1][2][3][4][5][6][7][8] Familiarity with the range of appearances of gallstones is important to avoid confusing them with potentially more serious pathologic conditions. Some of the sonographic patterns found for fetal cholelithiasis are similar to those found after birth, such as foci with posterior shadowing, posterior "comet tail" artifacts, foci without posterior shadowing or artifact, and layering material resembling the appearance of sludge in the adult gallbladder.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] The identity of the stones usually is readily apparent, because these echogenic foci often are found within a gallbladder recognizable by a characteristic location and configuration. If the gallbladder is contracted, however, the echogenic foci may not be perceived as gallstones and therefore could be misdiagnosed as other, more ominous entities, such as liver or peritoneal calcifications.…”

mentioning

confidence: 99%

Fetal gallstones in a contracted gallbladder: potential to simulate hepatic or peritoneal calcification.

Hertzberg

Kliewer

1998

Journal of Ultrasound in Medicine

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“…On occasion, large, discrete, multiple echogenic foci displaying typical distal shadowing artifacts and gravitydependent motion have been noted. [9][10][11][12] In the study by Brown et al,1' the presence of distal artifacts associated with the echogenic material within the fetal gallbladder was further classified into shadowing or comet tail (~-shape). The incidences of single, multiple, and diffuse echogenic foci were 12%, 73%, and 15%, respectively.…”

Section: Review Of Literaturementioning

confidence: 99%

Sonographic Evaluation of the Fetal Gallbladder in Utero

Wei

Haller²,

Rachlin

et al. 1993

Journal of Diagnostic Medical Sonography

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The purpose of this prospective study was to determine the incidence of visualization of the fetal gallbladder, to characterize its shape, to determine its normal measurements, and to correlate its size with gestational age. Data were collected between January and April of 1993 from the ultrasound laboratories of three major hospitals in the greater New York City area.Fetuses with any anomalies were excluded from the study. Gestational age as determined by ultrasound ranged from 15 weeks to term. Experienced sonographers at each site and the investigator followed a scanning protocol requiring the identification of the fetal gallbladder by shape, measurement in two axes, and evaluation of its content. Measurements of fetal gallbladder length and width were correlated with the estimated ultrasound gestational age. Fetal position and the number of hours since the mothers last meal were also noted. The fetal gallbladder was observed in 84% of the examinations. The most common shape was the teardrop configuration (58%). Fetal gallbladder length and fetal gallbladder width correlated significantly with gestational age as estimated by ultrasound (r = 0.85 and ~.74, respectively; P = 0.05). Echogenic material was noted in one (1.7%) of the fetal gallbladders. The percentage of fetal gallbladder visualization was higher than in previous reports. Even though a significant correlation was found between size and gestational age, more quantitative studies with a larger sample would be needed for development of a fetal gallbladder nomogram.

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Prenatal detection of gallstones

Cited by 18 publications

References 6 publications

Gallstone disease in children

Gallstone disease in children

Fetal gallstones in a contracted gallbladder: potential to simulate hepatic or peritoneal calcification.

Sonographic Evaluation of the Fetal Gallbladder in Utero

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