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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2011
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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. |
format | Online Article Text |
id | pubmed-3169498 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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