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    Go to the top of the page   ID: 20051128163422 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    15 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Other and unknown  

     
     Pediatric Radiology CasesMost likely etiology:

    metabolic  

     
     Pediatric Radiology CasesHistory:

    15 year old boy presented with known history of hereditary spherocytosis. Initially nephrologic workup for hematuria. During sonography, the pathology was found. Patient was otherwise without complaints.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Hereditary spherocytosis is the most frequent hereditary hemolytic anemia in central europe. Due to the spheric form of the erythrocytes, hemolysis and increased break down of erythrocytes in the spleen occurs. The increased accumulation of bilirubin leads to development of bilirubin gallstones.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Right upper quadrant, echogenic, partially echo mixed 18x36mm large structure in an echo-free environment subhepatic, with irregular surface.





    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Dito, longitudinal view with significantly irregular surface.





    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: 8 months later, sharply demarkated structure with clear shadowing 24x37mm.





    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Same structure with good mobility upon changing the patient's position.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Cholelithiasis, Hemobilia  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    So far no treatment, but waiting and observing. A solel splenectomy should prevent the development of gallstones. In the case of coexisting gallstones at time of splenectomy, the simultaneous cholecystectomy is discussed. Continuous clinical and sonographic follow up exams are recommended, especially if the stones are small or the gallbladder wall appears thickened.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Guidlines for the diagnosis and management of hereditary spherocytosis.
    B.Bolton-Maggs,Stevens, R.F., N.J.Dold, G.Lamont,P.Tillensor,P.H., M.J.King
    BJ of Hematology 126 (2004) 455-474  

     
     Pediatric Radiology CasesKeywords:

    gallstone, gallbladder stone, cholelithiasis, hereditary, spherocytosis, hereditary spherocytosis, bilirubin, bilirubin stone, bilirubin gallbladderstone, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Other and unknown
    or in the region: Abdomen
    or in the tissue/organ: Other and unknown
    or with the etiology: metabolic
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422


     

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    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   

    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis  
     
    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422


     

    Which diagnosis have other collegues guessed?


    • Cholecystitis
      Votes: 0 (0 %)


    • Hemorrhage into the liver
      Votes: 0 (0 %)


    • Adrenal adenoma
      Votes: 0 (0 %)


    • Bilirubin gallblader stone
      Votes: 23 (95 %)


    • Cholangiocarcinoma
      Votes: 1 (4 %)



        Total answers: 24

     
    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422


     

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    Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis
    Dirk Schaper. Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis. PedRad [serial online] vol 5, no. 11.
    URL: www.PedRad.info/?search=20051128163422


     




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