1/12. gallbladder injury in blunt abdominal trauma.A 36-year-old woman was admitted to the hospital for an abdominal blunt trauma. At ultrasound (US) and computed tomography (CT), a gallbladder lesion was suspected, along with a tear of the liver. The patient was submitted to a diagnostic laparoscopy. The gallbladder was partially avulsed and bile was infiltrated in the hepatoduodenal ligament. Intraoperative cholangiography and Kocher's maneuver excluded other lesions. Laparoscopic cholecystectomy was performed, but due to severe hemorrhage from the liver tear, the operation was converted to an open procedure. gallbladder lesions in blunt trauma are rare occurrences, but they are often associated with other organ injuries. US and CT scan are valuable for their diagnosis, but if a lesion is suspected, diagnostic laparoscopy is advisable in stable patients. It should be accompanied by a cystic duct cholangiography and a Kocher's maneuver to evaluate the integrity of the biliary tree. Laparoscopic cholecystectomy is generally feasible. Associated lesions require laparotomy when they are not amenable to laparoscopic treatment.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
2/12. laparoscopy in a case of pediatric blunt abdominal trauma.The use of laparoscopy in the assessment and treatment of blunt abdominal trauma has been reported for both adults and children. With increasing surgical experience and improvements in equipment, an expanding range of therapeutic interventions is available. The management of a 7-year-old boy who sustained blunt abdominal trauma during a fall from a bicycle is described. He was hemodynamically stable, but his abdomen remained tender, with guarding in the right upper quadrant. Serial ultrasound scans showed a thick-walled gallbladder and increasing intraabdominal fluid. laparoscopy was used both as a diagnostic tool, and then as a therapeutic method. Diagnostic laparoscopy showed a ruptured gallbladder treated by laparoscopic cholecystectomy. A 3-cm grade 1 liver laceration also was identified, which required no intervention. Free bile was aspirated and the peritoneal cavity thoroughly lavaged. The child made a rapid postoperative recovery. The ultimate aim in the management of blunt trauma is to avoid unnecessary laparotomy while preventing undue delay in the detection of significant intraabdominal pathology. Computed tomography scanning, ultrasound scanning, and diagnostic peritoneal lavage all have strengths for detecting different injury types, but they also have a low specificity in determining the need for laparotomy. The advantages and limitations of laparoscopy in hemodynamically stable children who have sustained injuries from blunt trauma are discussed. The authors recommend laparoscopy in experienced hands as an additional tool for the optimal management of selected trauma cases.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
3/12. Laparoscopic treatment of an isolated gallbladder rupture following blunt abdominal trauma in a schoolboy rugby player.Laparoscopic treatment of an isolated gallbladder rupture in a schoolboy rugby player resulting from blunt abdominal trauma has not previously been reported. A case report of this rare occurrence is presented together with a brief review of the literature.- - - - - - - - - - ranking = 2.5keywords = gallbladder (Clic here for more details about this article) |
4/12. Sonographic diagnosis of traumatic gallbladder rupture.gallbladder injuries after blunt abdominal trauma are rare and often follow a vague and insidious clinical course. Consequently, gallbladder injuries commonly go undiagnosed until exploratory laparotomy. early diagnosis is essential, because trauma to the gallbladder is typically treated surgically, and delay in treatment can result in considerable mortality and morbidity. With sonography emerging as a first-line modality for evaluation of intra-abdominal trauma, sonographers may wish to become more familiar with the appearance of gallbladder injury on sonography to facilitate earlier diagnosis and to improve treatment and prognosis. We report a case of gallbladder perforation after blunt abdominal trauma diagnosed on the basis of computed tomography (CT) and sonography.- - - - - - - - - - ranking = 4keywords = gallbladder (Clic here for more details about this article) |
5/12. gallbladder injuries due to blunt abdominal trauma: report on five cases and review of the literature.gallbladder lesions by blunt abdominal trauma are rare, due to the organ's anatomical particularities. Diagnosis is difficult, and it generally occurs during surgery. The trauma is usually associated with other lesions and is related to very serious traumas or to deceleration. Due to the scarcity of publications on this topic and to its reduced incidence, we present here a report of five patients who had suffered blunt abdominal trauma with gallbladder lesion and who were attended at the General Hospital (of the University of Sao Paulo Medical School) Emergency Service between 1986 and 1991. Furthermore, we analyze the incidence of this trauma, presence of associated lesion, treatment, morbidity and mortality of the patients, as well as a review of the literature.- - - - - - - - - - ranking = 0.5keywords = gallbladder (Clic here for more details about this article) |
6/12. Traumatic cholecystectomy.Avulsion of the gallbladder from its liver bed with detachment from both cystic duct and artery is an exceedingly rare consequence of blunt abdominal injury. A case is reported in which early recognition by diagnostic peritoneal lavage led to successful treatment.- - - - - - - - - - ranking = 0.5keywords = gallbladder (Clic here for more details about this article) |
7/12. Laparoscopic management of traumatic hemorrhagic cholecystitis.BACKGROUND AND OBJECTIVES: Blunt trauma to the gallbladder is a rare entity, particularly when no other organ is injured. In isolated blunt traumatic injury to the gallbladder, treatment options vary depending on the specific injury. The types of blunt trauma injuries to the gallbladder and their appropriate management are discussed. In addition, a case successfully managed with minimally invasive techniques is presented. methods: A passenger admitted after a high-speed front-end motor vehicle crash was safely managed with laparoscopic surgery for a rare case of isolated gallbladder trauma. The preoperative and operative management are discussed as well as the application of minimally invasive surgery for this rare process. RESULTS: Laparoscopic cholecystectomy was performed successfully. The patient did well postoperatively with no complications. No other injuries were identified at the time of laparoscopy. CONCLUSION: Minimally invasive techniques may be safely applied to blunt trauma of the gallbladder in certain circumstances.- - - - - - - - - - ranking = 2.5keywords = gallbladder (Clic here for more details about this article) |
8/12. Isolated gallbladder rupture due to blunt abdominal trauma.Traumatic injury to the extrahepatic biliary system is rare and usually diagnosed at laparotomy when it is associated with other visceral injuries. Isolated gallbladder rupture due to blunt abdominal trauma is even rarer. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. awareness to the possibility of trauma to the extrahepatic biliary system enables early surgical intervention and eliminates the high morbidity associated with delated diagnosis. A 5 year old child with isolated gallbladder rupture caused by blunt abdominal trauma is presented.- - - - - - - - - - ranking = 3.5keywords = gallbladder (Clic here for more details about this article) |
9/12. Biliary peritonitis following blunt abdominal trauma in children. Report of a case.bile peritonitis, following blunt abdomen injury to the biliary tract, is not a very common condition. The clinical features, however, are typical, the treatment is delayed due to the quiescent interval between the symptoms. The operative treatment is simple draining of the area of perforation and the site of the collection of bile. A catheter in the gallbladder is helpful in assessing the stoppage of the leak and the restoration of biliary drainage. The prompt surgical treatment on diagnosis has good prognosis.- - - - - - - - - - ranking = 0.5keywords = gallbladder (Clic here for more details about this article) |
10/12. Diagnosis of isolated perforation of the gallbladder following blunt trauma using sonography and CT scan.Perforation of the gallbladder from blunt abdominal trauma is relatively rare, and is usually diagnosed at laparotomy for associated visceral injury. Isolated injury of the gallbladder may be unrecognized leading to delayed diagnosis and its associated increased morbidity. Computerized tomography, sonography, and HIDA Tc99m may be used in the early diagnosis of the acutely perforated gallbladder.- - - - - - - - - - ranking = 3.5keywords = gallbladder (Clic here for more details about this article) |
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