Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Sandhyala A, Di Muzio B, et al. Fetal cholelithiasis. Reference article, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-13759
Fetal cholelithiasis refers to formation of gallstones in utero.
There occurrence is thought to be relatively common and is estimated at 1 in 300 pregnancies. They are almost always seen in the 3rd trimester 1. There may be slightly greater male predilection 7.
Associations
- hemolytic conditions of the newborn
- maternal hemolytic anemia(s)
Antenatal ultrasound
They may be seen as cluster of minute echogenic juxta-hepatic foci at the expected position of the gallbladder. Shadowing as well as comet tail artifacts may also be seen.
In the context of gallbladder sludge, the gallbladder may be diffusely echogenic. It may be sometimes difficult, if not impossible, to distinguish true sludge from multiple small stones 11.
In most cases, they are not thought to be of much concern with most resolving within the 1st year of life.
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For calcific foci closely abutting the liver consider
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1. Bianchi DW, Crombleholme TM, D'Alton ME. Fetology, diagnosis & management of the fetal patient. McGraw-Hill Professional. (2000) ISBN:0838525709. Read it at Google Books - Find it at Amazon
-
2. Suma V, Marini A, Bucci N et-al. Fetal gallstones: sonographic and clinical observations. Ultrasound Obstet Gynecol. 1998;12 (6): 439-41. doi:10.1046/j.1469-0705.1998.12060439.x - Pubmed citation
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3. Klingensmith WC, Cioffi-ragan DT. Fetal gallstones. Radiology. 1988;167 (1): 143-4. Radiology (abstract) - Pubmed citation
-
4. Munjuluri N, Elgharaby N, Acolet D et-al. Fetal gallstones. Fetal. Diagn. Ther. 20 (4): 241-3. doi:10.1159/000085077 - Pubmed citation
-
5. Kiserud T, Gjelland K, Bognø H et-al. Echogenic material in the fetal gallbladder and fetal disease. Ultrasound Obstet Gynecol. 1997;10 (2): 103-6. doi:10.1046/j.1469-0705.1997.10020103.x - Pubmed citation
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6. Devonald KJ, Ellwood DA, Colditz PB. The variable appearances of fetal gallstones. J Ultrasound Med. 1992;11 (11): 579-85. J Ultrasound Med (abstract) - Pubmed citation
-
7. Stringer MD, Lim P, Cave M et-al. Fetal gallstones. J. Pediatr. Surg. 1996;31 (11): 1589-91. J. Pediatr. Surg. (link) - Pubmed citation
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8. Suchet IB, Labatte MF, Dyck CS et-al. Fetal cholelithiasis: a case report and review of the literature. J Clin Ultrasound. 21 (3): 198-202. - Pubmed citation
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9. Nishi T. Ultrasonographic diagnosis of fetal cholelithiasis. J. Obstet. Gynaecol. Res. 1997;23 (3): 251-4. - Pubmed citation
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10. Mcnamara A, Levine D. Intraabdominal fetal echogenic masses: a practical guide to diagnosis and management. Radiographics. 25 (3): 633-45. doi:10.1148/rg.253045124 - Pubmed citation
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11. Petrikovsky B, Klein V, Holsten N. Sludge in fetal gallbladder: natural history and neonatal outcome. Br J Radiol. 1996;69 (827): 1017-8. doi:10.1259/0007-1285-69-827-1017 - Pubmed citation
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