胆囊穿孔作为轻度钝性腹部创伤的罕见并发症：一例报告
Gallbladder perforation as a rare complication of minor blunt abdominal trauma: a case report.
作者信息
W/Kiros Haddis Birhanu, Feleke Ashenafi Amsalu, Alamir Kidanemariam Mulualem, Abebe Temesgen Agegnehu, Alemu Wudie Mekonen, Tegegne Shimelis Seid, Aytolign Habtu Adane
机构信息
Department of Surgery College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Surgery College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
出版信息
Patient Saf Surg. 2025 May 6;19(1):15. doi: 10.1186/s13037-025-00431-5.
BACKGROUND
Blunt abdominal trauma leading to gallbladder injury is rare and presents a diagnostic challenge. Here, we present scenario of gallbladder perforation due a blow from a fist to the abdomen.
CASE PRESENTATION
A 30-years old male patient was admitted to University of Gondar comprehensive specialized hospital emergency department in Ethiopia due to blow from a fist on the right upper abdomen with a presumptive diagnosis of generalized peritonitis and underwent emergency laparotomy. The operative finding showed that, gallbladder was perforated at the fundus and a cholecystectomy was done. Postoperative time was uneventful and discharged on the 5th postoperative day.
CONCLUSION
Isolated gallbladder injury from a fist fight is rare, however, should be considered in the differential diagnosis of patients presenting with abdominal pain following minor blunt abdominal trauma.
背景
钝性腹部创伤导致胆囊损伤较为罕见，且诊断具有挑战性。在此，我们呈现一例因腹部受拳击导致胆囊穿孔的病例。
病例报告
一名30岁男性患者因右上腹受拳击被送至埃塞俄比亚贡德尔大学综合专科医院急诊科，初步诊断为弥漫性腹膜炎，随后接受了急诊剖腹手术。手术发现胆囊底部穿孔，遂行胆囊切除术。术后恢复顺利，术后第5天出院。
结论
因斗殴导致的孤立性胆囊损伤罕见，但在轻度钝性腹部创伤后出现腹痛的患者鉴别诊断中应予以考虑。
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