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Fetal gallstones

M D Stringer1, P Lim, M Cave

  • 1Department of Paediatric Surgery, Leeds General Infirmary, England.

Journal of Pediatric Surgery
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Fetal gallbladder cholelithiasis (gallstones) can be detected via ultrasound in late pregnancy, particularly in male fetuses. This condition often resolves spontaneously after birth, with most infants remaining asymptomatic.

Area of Science:

  • Medical Imaging
  • Pediatric Gastroenterology
  • Fetal Medicine

Background:

  • Gallbladder cholelithiasis (gallstones) is uncommon in fetuses.
  • Prenatal diagnosis of fetal anomalies is crucial for early management.

Purpose of the Study:

  • To report the occurrence and outcomes of fetal gallbladder cholelithiasis detected sonographically.
  • To characterize the natural history and sonographic findings of this condition.

Main Methods:

  • Sonographic examination of three male fetuses in late gestation.
  • Postnatal follow-up including serial sonography and clinical assessment.

Main Results:

  • Fetal gallbladder cholelithiasis was identified in three male fetuses.

Related Experiment Videos

  • Two cases showed spontaneous resolution by 6 weeks postnatal age.
  • One case had a persistent gallbladder calculus at 6 months, with all patients remaining asymptomatic.
  • Conclusions:

    • Sonographic detection of fetal gallbladder cholelithiasis is possible in late gestation.
    • The condition appears more prevalent in males and often resolves spontaneously.
    • Fetal gallbladder cholelithiasis is frequently associated with a benign clinical course.