一名三岁儿童腹部钝性创伤后发生胆汁淤积：病例报告
Cholestasis in a three year-old child following abdominal blunt trauma: a case report.
作者信息
Mousavi Seyed Abdollah, Karami Hassan
机构信息
Department of Pediatric Surgery, Mazandaran University of Medical Sciences, Sari, IR Iran.
Department of Pediatric Gastroenterology, Mazandaran University of Medical Sciences, Sari, IR Iran.
出版信息
Trauma Mon. 2013 Dec;18(3):139-40. doi: 10.5812/traumamon.12611. Epub 2013 Oct 13.
INTRODUCTION
Extra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. The purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma.
CASE PRESENTATION
A three year-old girl presented with obstructive jaundice and vomiting following blunt abdominal trauma one month prior to referral. The child was sitting in her father's lap when the accident occurred. She was then examined by an emergency physician to assess the cause of vomiting. An abdominal ultrasonography was performed and revealed dilatation of the common bile duct.
CONCLUSIONS
To the best of our knowledge, this is the first report of bile duct injury following blunt trauma and its emergency management.
引言
儿童钝性腹部创伤后肝外胆管损伤罕见；早期诊断和治疗对于良好预后至关重要。本报告的目的是描述钝性腹部创伤后胆管损伤儿童所遇到问题的处理。
病例介绍
一名3岁女孩在转诊前1个月因钝性腹部创伤后出现梗阻性黄疸和呕吐。事故发生时，孩子坐在父亲腿上。随后由急诊医生对其进行检查以评估呕吐原因。进行了腹部超声检查，显示胆总管扩张。
结论
据我们所知，这是第一例关于钝性创伤后胆管损伤及其急诊处理的报告。
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