Khan Muhammad Rizwan, Begum Saleema
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Department of Hepatobiliary Surgery, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.
J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S95-S98.
Gallbladder injury resulting from blunt abdominal trauma is a rare entity and generally associated with other intra-abdominal injuries. Incidence of isolated gallbladder injury has not been reported yet. The most common mechanism of injury reported is road traffic accident. Diagnosis is usually made on imaging as clinical presentation may vary from no symptoms to peritonitis due to extravasation of bile in the abdominal cavity. Cholecystectomy is the treatment of choice and minimally invasive approach can be considered in haemodynamically stable patients.
钝性腹部创伤导致的胆囊损伤是一种罕见情况，通常与其他腹腔内损伤相关。孤立性胆囊损伤的发生率尚未见报道。报道的最常见损伤机制是道路交通事故。诊断通常依靠影像学检查，因为临床表现可能从无症状到因胆汁腹腔内渗漏导致的腹膜炎不等。胆囊切除术是首选治疗方法，对于血流动力学稳定的患者可考虑采用微创方法。
