Iwacewicz P, Wojskowicz P, Safiejko K, Barczyk J, Dadan J
1st Department of General and Endocrinological Surgery, Medical University of Białystok, Poland.
Adv Med Sci. 2007;52:294-5.
The extremely rare case of 83-year old woman with rupture of the gallbladder due to blunt abdominal trauma is presented. Patient's general condition was complicated because of coagulopathy caused by oral anticoagulant what has contributed to intra-abdominal haemorrhage. The rupture of the gallbladder and rupture of the liver were found during operation. The diagnosis of rupture of the gallbladder due to blunt abdominal trauma is difficult to establish before exploration and often coexists with injury to the liver. The treatment of choice in rupture of the gallbladder is cholecystectomy. In patients after abdominal trauma, beside damage of parenchymatous organs, the injury to other organs should be taken into consideration, even if they occur very rarely.
本文报告了一例极为罕见的83岁女性因钝性腹部外伤导致胆囊破裂的病例。患者的一般状况因口服抗凝剂引起的凝血障碍而复杂化，这导致了腹腔内出血。手术中发现了胆囊破裂和肝脏破裂。钝性腹部外伤导致的胆囊破裂在探查前很难确诊，且常与肝脏损伤并存。胆囊破裂的首选治疗方法是胆囊切除术。在腹部外伤后的患者中，除了实质性器官的损伤外，即使其他器官损伤非常罕见，也应予以考虑。
