Question
The child, who is 1.5 years old, was hospitalized due to fever and dry vomiting a month ago. After treatment, ultrasound and computerized tomography were performed, revealing common bile duct dilatation. The child was referred to a provincial-level third-grade children’s hospital, where the doctor stated there was no need to worry and suggested a re-examination after one month. The follow-up examination results showed (no jaundice or abdominal pain symptoms within a month, currently none), with the provincial hospital conducting ultrasounds, various laboratory tests, and magnetic resonance imaging, as reported in the image below. The initial diagnosis suggests the possibility of gallstones, but the child has no symptoms. The parents inquire whether the risk of undergoing minimally invasive surgery now is too great?
Answer
Based on the current imaging data, the child may have biliary stones. Since the child is relatively young, the risks of surgery and anesthesia are higher. Currently, there are no symptoms or complications, and it is recommended to first observe and follow up. This is the suggestion for the question ‘Is it suitable for a 1.5-year-old child with asymptomatic bile duct dilatation and shadow to undergo minimally invasive surgery?’ I hope this helps you, and wish the patient a speedy recovery!