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1病例报告患儿女,2岁5个月。因反复不规律腹痛急诊入院,无其他不适。急行超声检查显示:肝脏大小形态正常,被膜光滑,实质回声均匀,肝内管道显示清晰,门静脉内径正常;餐后胆囊,腔内可见数个沙粒样强回声,后伴声影,可随体位改变移动。肝内胆管扩张,管腔内未见异常,肝外胆管内径约0.6cm,肝外胆管末端管腔内可见一大小约0.5cm×0.4cm的中强回声团,后伴淡声影。胰、脾无异常。诊断为胆囊沙粒样结石,胆囊炎;肝内外
1 case reported children, 2 years and 5 months. Due to repeated irregular abdominal pain hospitalized, no other discomfort. Urgent ultrasound examination showed that: the size of the liver morphology is normal, the coating is smooth, uniform echogenic, intrahepatic duct showed clear, normal diameter of portal vein; postprandial gallbladder, the cavity can be seen several sand-like strong echo, with sound shadow, Change the move. Intrahepatic bile duct dilatation, no abnormal lumen, extrahepatic bile duct diameter of about 0.6cm, extrahepatic bile duct lumen seen within a size of about 0.5cm × 0.4cm of the strong echo group, followed by light shadow. Pancreas, spleen without exception. Diagnosis of gallbladder sand-like stones, cholecystitis;