Diseases of bile duct in children

Figure 8 A 3-year-old girl was diagnosed with tetralogy of Fallot and brain abscess. She was admitted for intravenous antibiotic therapy, including ceftriaxone 100 mg/kg/d and metronidazole 30 mg/kg/d for 6 wk. After 3 wk of ceftriaxone administration, she experienced intermittent colicky pain in her right upper abdomen and ultrasonography showed an enlarged gallbladder with multiple gallstones in the posterior dependent part extending to the gallbladder neck. A: Multiple gallstones; B: Enlarged gallbladder measuring 6.3 cm in length, 1.5 mm gallbladder wall, and no pericholecystic fluid; C: Enlarged gallbladder with multiple gallstones in the posterior dependent part extending to gallbladder neck; D: Multiple gallstones.