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美国一名儿科患者的穿透性胆囊损伤：病例报告

Penetrating gallbladder injury in a pediatric patient in the United States: a case report.

作者信息

Cruz-Centeno Nelimar, Stewart Shai, Marlor Derek R, Dekonenko Charlene, Hendrickson Richard J

机构信息

Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, MO, USA.

出版信息

J Trauma Inj. 2023 Sep;36(3):295-297. doi: 10.20408/jti.2023.0008. Epub 2023 Jul 5.

DOI:10.20408/jti.2023.0008
PMID:39381702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309268/
Abstract

Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to the severity of the injury and the patient's hemodynamics. We present the case of an 11-year-old male with an accidental pellet gunshot wound to the right upper abdomen that resulted in a grade III liver laceration and damage to the anterior gallbladder wall. The patient underwent laparoscopic cholecystectomy with drain placement. Postoperative radiography of the surgical specimen confirmed the presence of the pellet in the gallbladder. The patient recovered uneventfully and was discharged home on postoperative day 3. Laparoscopic cholecystectomy is a feasible treatment option for penetrating gallbladder injuries in hemodynamically stable patients.

摘要

穿透性胆囊损伤在儿科人群中并不常见。治疗方法根据损伤的严重程度和患者的血流动力学情况而有所不同。我们报告一例11岁男性患者，右上腹意外遭受弹丸枪伤，导致III级肝裂伤和胆囊前壁损伤。该患者接受了腹腔镜胆囊切除术并放置了引流管。手术标本的术后X线检查证实胆囊内有弹丸。患者恢复顺利，术后第3天出院。对于血流动力学稳定的穿透性胆囊损伤患者，腹腔镜胆囊切除术是一种可行的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/11309268/bfe68a225c83/jti-2023-0008f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/11309268/bb56227243e5/jti-2023-0008f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/11309268/bfe68a225c83/jti-2023-0008f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/11309268/bb56227243e5/jti-2023-0008f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/11309268/bfe68a225c83/jti-2023-0008f2.jpg

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本文引用的文献

1
Role of Minimally Invasive Surgery in Management of Penetrating Abdominal Trauma in Children.微创外科在儿童穿透性腹部创伤治疗中的作用。
Eur J Pediatr Surg. 2021 Aug;31(4):353-361. doi: 10.1055/s-0041-1726411. Epub 2021 Mar 23.
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Traumatic Gallbladder Perforation in Children - Case Report and Review.儿童外伤性胆囊穿孔——病例报告及文献复习。
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腹腔镜处理腹部钝性和穿透性创伤：单中心经验和文献复习。
J Laparoendosc Adv Surg Tech A. 2021 Nov;31(11):1262-1268. doi: 10.1089/lap.2020.0552. Epub 2021 Jan 11.
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Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy.腹腔镜胆囊切除术治疗创伤性胆囊破裂
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Ulster Med J. 1966;35(1):100-4.