September 2005

Abnormal gallbladder in a neonate

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Clinical information

5 days old male neonate, Accidental finding during an ultrasound examination of the kidneys because of a urinary tract infection.

Ultrasound Images & Clips

5 days old male neonate, Accidental finding during an ultrasound examination of the kidneys because of a urinary tract infection.

There is an abnormal gallbladder filled with sludge and small stones causing acoustic shadowing. Sludge and stones can be found in neonates that are on parenteral nutrition. This patient was not on parenteral nutrition. Also reflective material in t

An ultrasound examination performed 2 days later revealed no change. Because the baby was treated with an antibiotic from the cephalosporin group (Claforan = Cefotaxime) a relation between the medication and the material in the gallbladder was suspecte

Abnormal gallbladder in a neonate

A control examination was performed a few days after the treatment of the urinary tract infection with Claforan was completed. The gallbladder was now completely normal without any signs of sludge or stones. Diagnosis "Pseudo"cholelithiasis caused by t

Conclusion

9.1.4 Slide 1 shows another case of sludge and stones in the gallbladder. In this case the examination was performed in the search for congenital abnormalities. This child died almost immediately after birth.

Details

Sex: Male

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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