Cheddie S, Manneh C G, Naidoo N M
Madadeni Hospital and Department of General Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
S Afr J Surg. 2014 Nov;52(4):118-119. doi: 10.7196/sajs.2111.
A 32-year-old man sustained an isolated perforation of the gallbladder following blunt abdominal trauma. A preoperative diagnosis was made on an ultrasound scan, which showed a pericholecystic fluid collection only. At laparotomy, a gallbladder perforation at the infundibulum was identified with a localised bile collection, warranting a cholecystectomy. Isolated gallbladder injury from blunt abdominal trauma is rare, and a high index of suspicion is required to establish the diagnosis. Cholecystectomy is the treatment of choice.
一名32岁男性在腹部钝性创伤后发生孤立性胆囊穿孔。术前通过超声扫描做出诊断,超声仅显示胆囊周围有液体聚集。剖腹手术时,发现胆囊漏斗部穿孔并有局限性胆汁聚集,遂行胆囊切除术。腹部钝性创伤导致的孤立性胆囊损伤罕见,需要高度怀疑才能确诊。胆囊切除术是首选治疗方法。