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钝性胆囊创伤:一例罕见且易被忽视的病例报告。

A blunt gallbladder trauma: a rare and easily overlooked case report.

作者信息

Lu Phi H, Tran Nghia H, Van Nguyen Cuong, Tran Viet Hoang

机构信息

Department of General Surgery, Can Tho Central General Hospital, 315 Nguyen Van Linh Street, An Khanh Ward, Ninh Kieu District, Can Tho City 900000, Vietnam.

Can Tho University of Medicine and Pharmacy, 172 Nguyen Van Cu Street, An Khanh Ward, Ninh Kieu District, Can Tho City 90000, Vietnam.

出版信息

J Surg Case Rep. 2025 May 7;2025(5):rjaf276. doi: 10.1093/jscr/rjaf276. eCollection 2025 May.

Abstract

The rate of gallbladder injury in the setting of blunt abdominal trauma is ⁓2%. Furthermore, an isolated gallbladder injury in a case with blunt trauma is even rarer. A 16-year-old female patient fell from the third floor of a secondary school building and was admitted to the Emergency Department with traumatic shock, and multiple organ injuries including head injury, spinal fracture, femur fracture, and blunt abdominal trauma. The patient received initial first aid and diagnostic tests, including blood tests, abdominal ultrasound, and contrast-enhanced abdominal computed tomography, which revealed a gallbladder injury and free abdominal air. Diagnostic laparoscopy identified a gallbladder hematoma, with no hollow organ rupture. Open surgery was performed to examine the duodenum and digestive tract, revealing no additional organ injuries. The gallbladder was removed, and the patient recovered without complications by day 6 postoperatively, before being transferred for orthopedic surgery.

摘要

钝性腹部创伤时胆囊损伤的发生率约为2%。此外,钝性创伤病例中孤立性胆囊损伤更为罕见。一名16岁女性患者从中学教学楼三楼坠落,因创伤性休克及包括头部损伤、脊柱骨折、股骨骨折和钝性腹部创伤在内的多器官损伤被收入急诊科。患者接受了初步急救和诊断检查,包括血液检查、腹部超声和腹部增强计算机断层扫描,结果显示胆囊损伤和腹腔游离气体。诊断性腹腔镜检查发现胆囊血肿,无中空器官破裂。行开放手术检查十二指肠和消化道,未发现其他器官损伤。切除胆囊,患者术后第6天康复且无并发症,随后转至骨科进行手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dff/12056503/fed57a4924a8/rjaf276f1.jpg

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