Kaehr D, Jones L M, Miller S F, Finley R K
J Trauma. 1984 Jun;24(6):544-5. doi: 10.1097/00005373-198406000-00015.
Injury to the gallbladder following blunt abdominal trauma is an unusual finding at laparotomy, with a reported incidence of less than 2%. Avulsion from the liver and detachment from both the cystic duct and artery is an extremely rare finding. The condition of the patient and the extent of injuries will dictate the procedure performed. In the case presented, total avulsion of the gallbladder was successfully treated with identification and ligation of the cystic duct, and coagulation of small bleeding points, followed by placement of a Penrose drain.
钝性腹部创伤后胆囊损伤在剖腹手术中是一种不常见的发现，报告发生率低于2%。胆囊从肝脏撕脱以及与胆囊管和动脉均分离是极其罕见的情况。患者的病情和损伤程度将决定所采取的手术方式。在本病例中，胆囊完全撕脱通过识别并结扎胆囊管、凝固小出血点，随后放置一根橡皮引流管得以成功治疗。
