February 1982

Hydrops of Gallbladder Premature Neonate

Author Affiliations

Children's Hospital of San Francisco San Francisco

Am J Dis Child. 1982;136(2):172-173. doi:10.1001/archpedi.1982.03970380084020

Gallbladder disease is uncommon in newborns, and its diagnosis by standard radiographic methods has rarely been reported.1 The use of the newer imaging modalities, ultrasonography, and hepatobiliary scanning using technetium Tc 99m to evaluate the neonatal gallbladder has not, to our knowledge, been previously reported.

Report of a Case.—A 1.49-kg neonate was born to a 35-year-old woman (gravida 4, para 2, abortus 1) after a 31-week gestation that was complicated by bleeding just before delivery, which was by cesarean section. Apgar scores were 5 and 6 at one and five minutes, respectively. He was admitted to the neonatal intensive care unit because of respiratory distress and prematurity and to rule out sepsis. An initial arterial blood sample on 50% oxygen, administered by hood, showed the following values: pH, 7.23; Po2, 52 mm Hg; and Pco2, 49 mm Hg. A chest roentgenogram showed moderate hyaline membrane disease

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