Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma
نویسنده
چکیده
Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via laparotomy rather than laparoscopically. Conservative management, in the form of cholecystostomy, percutaneous intraperitoneal drainage or cholecystorraphy has been described; however, these cases have invariably resulted in cholecystectomy eventually. The case uniquely highlights the successful non-operative management of isolated traumatic gallbladder perforation.
منابع مشابه
Small Intestine Perforation due to Blunt Abdominal Trauma
Six years experience of blunt abdominal trauma leading to small intestine Perforation in Loghrnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anastomosis, with no mortal...
متن کاملIsolated gallbladder perforation following blunt abdominal trauma.
A 32-year-old man sustained an isolated perforation of the gallbladder following blunt abdominal trauma. A preoperative diagnosis was made on an ultrasound scan, which showed a pericholecystic fluid collection only. At laparotomy, a gallbladder perforation at the infundibulum was identified with a localised bile collection, warranting a cholecystectomy. Isolated gallbladder injury from blunt ab...
متن کاملIsolated gallbladder hematoma after a blunt abdominal trauma: case report
Background Sonography has played an important role on detection of intraabdominal injuries with a sensitivity of 86%, a specificity of 98%, and an accuracy of 97% [1]. Negative predictive value achieved about 98% [1]. However, gallbladder injury is rare with incidence around 2.1% [2,3] in blunt abdominal trauma [2], and commonly associated with the solid organ injury or abdominal vascular injur...
متن کاملManagement of Blunt Trauma to the Spleen (Part 1)
Spleen is the most frequent solid organ to be injured in blunt abdominal trauma. Considering its important role in providing immunity and preventing infection by a variety of mechanisms, every attempt should be made, if possible, to salvage the traumatized spleen at any age particularly in children. After primary resuscitation, mandatory requirements for non-operative management include absence...
متن کاملIsolated gallbladder perforation after blunt abdominal trauma in children.
Injury of the gallbladder after blunt abdominal trauma is rare. Isolated contusion of the gallbladder is exceptional because of its anatomical localization. It is protected by the liver, intestines, the omentum, and ribs. Its clinical presentation is often insidious, the reason why the diagnosis is often made during an exploring laparotomy. The delayed diagnosis is often responsible for high mo...
متن کامل