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Traumatic cholecystectomy
N Xeropotamos1, G Baltoyannis, D Nastos
1Academic Department of Surgery, University of Ioannina, Greece.
The European Journal of Surgery = Acta Chirurgica
|April 1, 1992
Summary
Blunt abdominal trauma can cause rare gallbladder avulsion. Early diagnosis via diagnostic peritoneal lavage enabled successful surgical treatment in a reported case.
Area of Science:
- Trauma surgery
- Abdominal imaging
- Surgical case reports
Background:
- Blunt abdominal trauma is a significant cause of injury, with gallbladder avulsion being an exceptionally rare complication.
- The gallbladder's anatomical connections (cystic duct and artery) make it susceptible to avulsion injuries.
Observation:
- A case of gallbladder avulsion following blunt abdominal injury is presented.
- Diagnostic peritoneal lavage (DPL) was utilized for early detection of intra-abdominal bleeding and injury.
Findings:
- The patient presented with signs of severe abdominal trauma.
- Diagnostic peritoneal lavage revealed hemoperitoneum, prompting surgical exploration.
- Surgical findings confirmed complete avulsion of the gallbladder from its liver bed, including the cystic duct and artery.
Implications:
- This case highlights the importance of considering rare injuries in blunt abdominal trauma.
- Early recognition through diagnostic peritoneal lavage is crucial for timely and successful surgical intervention.
- Management of gallbladder avulsion requires prompt surgical management to prevent complications.