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牛市后胆囊疝出:一例报告

Herniated Gallbladder Following a Bull Run: A Case Report.

作者信息

Soares Ana Cláudia, Nunes Vieira Ana, Bagnari Inês, Bonança Joana, Leonor Sara

机构信息

Surgery, Hospital de Santo Espírito da Ilha Terceira, Angra do Heroísmo, PRT.

出版信息

Cureus. 2024 Nov 24;16(11):e74354. doi: 10.7759/cureus.74354. eCollection 2024 Nov.

Abstract

The liver is the most common organ injury associated with blunt trauma. Blunt hepatic trauma, due to the high kinetic impact on the liver, causes compression and parenchymal disruption, leading to tears in its vascular structures. By contrast, gallbladder injury is rare because it is located beneath and shielded by the liver. This report concerns a case where hepatic and abdominal wall tearing following blunt trauma led to gallbladder herniation.

摘要

肝脏是钝性创伤最常累及的器官。由于对肝脏的高动能冲击,钝性肝创伤会导致肝脏受压和实质破坏,进而造成其血管结构撕裂。相比之下,胆囊损伤较为罕见,因为它位于肝脏下方并受到肝脏的保护。本报告涉及一例钝性创伤后肝及腹壁撕裂导致胆囊疝出的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/3d64fc9e1c3f/cureus-0016-00000074354-i01.jpg

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本文引用的文献

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Management of blunt abdominal trauma.钝性腹部创伤的处理
Br J Surg. 2024 Jul 2;111(7). doi: 10.1093/bjs/znae168.
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Liver trauma: WSES 2020 guidelines.肝脏创伤:WSES 2020 指南。
World J Emerg Surg. 2020 Mar 30;15(1):24. doi: 10.1186/s13017-020-00302-7.
5
WSES classification and guidelines for liver trauma.WSES肝脏创伤分类及指南
World J Emerg Surg. 2016 Oct 10;11:50. doi: 10.1186/s13017-016-0105-2. eCollection 2016.
7
Evolution in the management of hepatic trauma: a 25-year perspective.肝外伤治疗的演变:25年回顾
Ann Surg. 2000 Sep;232(3):324-30. doi: 10.1097/00000658-200009000-00004.

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