Gali B M, Ali N, Bakari A A, Suleiman I E
Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
Niger J Clin Pract. 2013 Jul-Sep;16(3):398-400. doi: 10.4103/1119-3077.113474.
The gallbladder is a relatively well-protected organ; consequently its rupture following blunt abdominal injury is rare and usually associated with other visceral injuries. Isolated gallbladder rupture is extremely rare. We report a healthy Nigerian adult male who sustained isolated gallbladder rupture following blunt abdominal injury from riding a motor cycle (Okada). A high index of suspicion with positive bile aspirate might lead to early diagnosis. Open cholecystectomy is a safe option of treatment in a resource poor centre especially in delayed presentation and has a good outcome.
胆囊是一个受到相对良好保护的器官；因此，腹部钝性损伤后胆囊破裂很少见，且通常与其他内脏损伤相关。孤立性胆囊破裂极为罕见。我们报告一例健康的尼日利亚成年男性，其在骑乘摩托车（奥卡达）时腹部受到钝性损伤后发生了孤立性胆囊破裂。高度怀疑并胆汁抽吸阳性可能有助于早期诊断。在资源匮乏的中心，尤其是在就诊延迟的情况下，开腹胆囊切除术是一种安全的治疗选择，且预后良好。
