tailieunhanh - báo cáo khoa học: "Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature | Pavlidis et al. Journal of Medical Case Reports 2011 5 392 http content 5 1 392 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Isolated complete avulsion of the gallbladder near traumatic cholecystectomy a case report and review of the literature Theodoros E Pavlidis Miltiadis A Lalountas Kyriakos Psarras Nikolaos G Symeonidis Anastasios Tsitlakidis Efstathios T Pavlidis Konstantinos Ballas Nikolaos Flaris Georgios N Marakis and Athanassios K Sakantamis Abstract Introduction Injury of the gallbladder after blunt abdominal trauma is an unusual finding the reported incidence is less than 2 . Three groups of injuries are described simple contusion laceration and avulsion the last of which can be partial complete or total traumatic cholecystectomy. Case presentation A case of isolated complete avulsion of the gallbladder near traumatic cholecystectomy from its hepatic bed in a 46-year-old Caucasian man without any other sign of injury is presented. The avulsion was due to blunt abdominal trauma after a car accident. The rarity of this injury and the stable condition of our patient at the initial presentation warrant a description. The diagnosis was made incidentally after a computed tomography scan and our patient was treated successfully with ligation of the cystic duct and artery removal of the gallbladder coagulation of the bleeding points and placement of a drain. Conclusions Early diagnosis of such injuries is quite difficult because abdominal signs are poor non-specific or even absent. Therefore a computed tomography scan should be performed when the mechanism of injury is indicated. Introduction The first specimen of a lacerated gallbladder from a blunt trauma was found in Guy s Museum in London and dates from 1388 1 . The first known case of someone surviving a gallbladder traumatic rupture was in 1898 1 . Penn 2 reported the incidence of gallbladder trauma to be in a collected review of 5670 cases of blunt and .