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Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature

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...

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Autores principales: Pavlidis, Theodoros E, Lalountas, Miltiadis A, Psarras, Kyriakos, Symeonidis, Nikolaos G, Tsitlakidis, Anastasios, Pavlidis, Efstathios T, Ballas, Konstantinos, Flaris, Nikolaos, Marakis, Georgios N, Sakantamis, Athanassios K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169498/
https://www.ncbi.nlm.nih.gov/pubmed/21851630
http://dx.doi.org/10.1186/1752-1947-5-392
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author Pavlidis, Theodoros E
Lalountas, Miltiadis A
Psarras, Kyriakos
Symeonidis, Nikolaos G
Tsitlakidis, Anastasios
Pavlidis, Efstathios T
Ballas, Konstantinos
Flaris, Nikolaos
Marakis, Georgios N
Sakantamis, Athanassios K
author_facet Pavlidis, Theodoros E
Lalountas, Miltiadis A
Psarras, Kyriakos
Symeonidis, Nikolaos G
Tsitlakidis, Anastasios
Pavlidis, Efstathios T
Ballas, Konstantinos
Flaris, Nikolaos
Marakis, Georgios N
Sakantamis, Athanassios K
author_sort Pavlidis, Theodoros E
collection PubMed
description 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.
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spelling pubmed-31694982011-09-09 Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature Pavlidis, Theodoros E Lalountas, Miltiadis A Psarras, Kyriakos Symeonidis, Nikolaos G Tsitlakidis, Anastasios Pavlidis, Efstathios T Ballas, Konstantinos Flaris, Nikolaos Marakis, Georgios N Sakantamis, Athanassios K J Med Case Reports Case Report 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. BioMed Central 2011-08-18 /pmc/articles/PMC3169498/ /pubmed/21851630 http://dx.doi.org/10.1186/1752-1947-5-392 Text en Copyright ©2011 Pavlidis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pavlidis, Theodoros E
Lalountas, Miltiadis A
Psarras, Kyriakos
Symeonidis, Nikolaos G
Tsitlakidis, Anastasios
Pavlidis, Efstathios T
Ballas, Konstantinos
Flaris, Nikolaos
Marakis, Georgios N
Sakantamis, Athanassios K
Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title_full Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title_fullStr Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title_full_unstemmed Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title_short Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
title_sort isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169498/
https://www.ncbi.nlm.nih.gov/pubmed/21851630
http://dx.doi.org/10.1186/1752-1947-5-392
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