Goel V, Kumar N, Soni N
Department of Surgery, Hindu Rao Hospital, Ashok Vihar, Delhi, India.
JNMA J Nepal Med Assoc. 2015 Jan-Mar;53(197):34-6.
Gall bladder injuries are seen in 2% of patients undergoing laparotomy for blunt trauma abdomen. Isolated gall bladder injury is a rare event with associated presence of stones is even rarer. The associated visceral injuries lead to intraoperative identification in most cases. Here we present a case of 30 years old male with isolated gall bladder laceration following blunt abdominal trauma. The diagnosis of gallbladder perforation after blunt injury may be suspected in patients with signs of an acute abdomen and hypotension that is not explained by blood loss. Early suspicion and prompt exploration is imperative. Cholecystectomy is an adequate treatment for the condition.
在因钝性腹部创伤接受剖腹手术的患者中,胆囊损伤的发生率为2%。孤立性胆囊损伤是一种罕见事件,伴有结石的情况更为罕见。大多数情况下,相关的内脏损伤会在术中得以识别。在此,我们报告一例30岁男性患者,在钝性腹部创伤后出现孤立性胆囊裂伤。对于有急腹症体征且低血压不能用失血来解释的患者,可能会怀疑钝性损伤后胆囊穿孔。早期怀疑并及时探查至关重要。胆囊切除术是治疗该病的适当方法。