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一名5岁儿童腹部钝性创伤后出现孤立性稳定型胆囊穿孔。

Isolated and stable gallbladder perforation in a 5 year old child after blunt abdominal trauma.

作者信息

Issa I, Modica Alameddine V, Fadous Khalife M C, Al Ojaimi M, Ghorayeb Z

机构信息

Department of Pediatrics & Pediatric Surgery, UH Notre Dame De Secours, Jbeil, Lebanon.

Holy Spirit University of Kaslik, Lebanon.

出版信息

Trauma Case Rep. 2017 May 28;9:27-29. doi: 10.1016/j.tcr.2017.05.004. eCollection 2017 Jun.

Abstract

Isolated gallbladder injury, secondary to a blunt abdominal trauma, is a rare finding in children. The presence of vague symptoms and the unknown dynamic of the trauma may increase the diagnostic challenge especially in pediatrics. A conservative management has been proposed in some particular cases in adults, but remains controversial in children. We report a case of a 5 year old boy who presented an isolated gallbladder lesion secondary to a blunt abdominal trauma. The surgical treatment was delayed for non-medical reasons, which gave us the possibility to try a conservative approach.

摘要

钝性腹部创伤继发的孤立性胆囊损伤在儿童中是一种罕见的发现。模糊症状的存在以及创伤的未知动态可能会增加诊断难度,尤其是在儿科。在成人的一些特定病例中已提出保守治疗,但在儿童中仍存在争议。我们报告一例5岁男孩,其因钝性腹部创伤出现孤立性胆囊病变。由于非医疗原因手术治疗延迟,这使我们有可能尝试保守治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/449d/5883222/92f6340969d7/gr1.jpg

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