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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.

DOI:10.7759/cureus.74354
PMID:39720360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668358/
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/af6fdbbe8837/cureus-0016-00000074354-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/3d64fc9e1c3f/cureus-0016-00000074354-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/d1f145e48875/cureus-0016-00000074354-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/645ff21ba0af/cureus-0016-00000074354-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/5e935b428d48/cureus-0016-00000074354-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/7e634b73cef4/cureus-0016-00000074354-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/b4a806bbea63/cureus-0016-00000074354-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/0131f717d500/cureus-0016-00000074354-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/af6fdbbe8837/cureus-0016-00000074354-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/3d64fc9e1c3f/cureus-0016-00000074354-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/d1f145e48875/cureus-0016-00000074354-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/645ff21ba0af/cureus-0016-00000074354-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/5e935b428d48/cureus-0016-00000074354-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/7e634b73cef4/cureus-0016-00000074354-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/b4a806bbea63/cureus-0016-00000074354-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/0131f717d500/cureus-0016-00000074354-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a89/11668358/af6fdbbe8837/cureus-0016-00000074354-i08.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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An incisional hernia containing a gangrenous gallbladder: a case report and review of the literature.一例包含坏疽性胆囊的切口疝：病例报告及文献复习
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Incarcerated gallbladder in inguinal hernia: a case report and literature review.腹股沟疝中嵌顿的胆囊：病例报告及文献复习。
BMC Gastroenterol. 2020 Dec 14;20(1):425. doi: 10.1186/s12876-020-01569-5.
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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.
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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.
6
Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline.钝性肝损伤的非手术治疗：东部创伤外科学会实践管理指南。
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S288-93. doi: 10.1097/TA.0b013e318270160d.
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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.
8
Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s.钝性肝损伤：20世纪90年代从手术治疗到非手术治疗的模式转变。
Ann Surg. 2000 Jun;231(6):804-13. doi: 10.1097/00000658-200006000-00004.