Milani H, Druart M L, Derom F, Lebec J C, Wart F, Wilputte F, Deschreyer M
Acta Chir Belg. 1984 May-Jun;84(3):180-5.
The authors report 7 cases of isolated injuries of the gallbladder, in closed abdominal trauma. The literature indicates the frequency to lie between one and five percent. The postprandial period and fasting alcohol levels, responsible for the distention of the gallbladder, are mostly the cause of such lesions. Four groups of injuries are described: 1) laceration 2) avulsion 3) simple contusion 4) traumatic cholecystitis Early diagnosis of such injuries is difficult as abdominal signs are poor and little specific; the authors note the value of peritoneal puncture and lavage. The treatment of gallbladder trauma is always surgical, cholecystectomy giving the best results; raphy and cholecystostomy are second choice treatments. The prognosis is usually favorable, even if surgery is delayed, and depends essentially on the nature of associated extra-abdominal injuries.
作者报告了7例在闭合性腹部创伤中胆囊单独受伤的病例。文献表明其发生率在1%至5%之间。餐后阶段和空腹时的酒精水平会导致胆囊扩张，这大多是此类损伤的原因。文中描述了四组损伤：1）撕裂伤2）撕脱伤3）单纯挫伤4）创伤性胆囊炎。由于腹部体征不明显且特异性不强，此类损伤的早期诊断较为困难；作者指出了腹腔穿刺和灌洗的价值。胆囊创伤的治疗总是采用手术方式，胆囊切除术效果最佳；缝合和胆囊造口术是次选治疗方法。预后通常良好，即使手术延迟，其预后主要取决于相关腹部外损伤的性质。
