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车把伤:并非总是损伤胰腺。

Handlebar Injuries: Not Always the Pancreas.

作者信息

Cacciatore Christopher J, Pellegrin Katharina, Kashmer David, Holtman Nathan P

机构信息

Surgery, Edward Via College of Osteopathic Medicine, Auburn, USA.

Surgery, Naval Medical Center, Portsmouth, USA.

出版信息

Cureus. 2023 Jul 27;15(7):e42560. doi: 10.7759/cureus.42560. eCollection 2023 Jul.

Abstract

This case report highlights a rare traumatic gallbladder rupture secondary to a handlebar impact to the abdomen. Traumatic gallbladder rupture is only seen in 1.9-2.1% of all reported abdominal trauma. The diagnosis can be delayed due to the rarity of injury and the non-specific symptoms that a patient may present with. This case highlights the need for high clinical suspicion based on the mechanism of injury and imaging studies (focused assessment with sonography (FAST) and computed tomography (CT) scan) to direct treatment of concurrent injuries to assure the best outcome and prevent complications and morbidity. This patient was treated surgically with cholecystectomy and was discharged in stable condition.

摘要

本病例报告强调了一种罕见的因腹部受到车把撞击导致的创伤性胆囊破裂。在所有报告的腹部创伤中,创伤性胆囊破裂仅占1.9%-2.1%。由于损伤罕见且患者可能出现非特异性症状,诊断可能会延迟。本病例突出了基于损伤机制和影像学检查(超声重点评估(FAST)和计算机断层扫描(CT))进行高度临床怀疑的必要性,以指导对并发损伤的治疗,确保最佳结果并预防并发症和发病率。该患者接受了胆囊切除术的手术治疗,出院时情况稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c37/10460239/4b9e63b67a09/cureus-0015-00000042560-i01.jpg

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