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[Isolated traumatic perforations of the gallbladder. 2 case reports]
Summary
Two gallbladder injuries, including perforation and sub-serosal rupture, were successfully treated with cholecystectomy. Heavy ethanol use was a key factor in both cases, highlighting the need for specific diagnostic tools.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gallbladder injuries can present with varied pathology.
- Ethanol abuse is a significant risk factor for abdominal trauma.
Observation:
- Two distinct cases of gallbladder injury are presented: a classic perforation and a sub-serosal rupture with wall dissection.
- Both patients had a history of heavy ethanol consumption.
Findings:
- Cholecystectomy was curative for both gallbladder injuries.
- Heavy ethanol impregnation was identified as a contributing factor to the injuries.
Implications:
- Diagnostic modalities like sonography, peritoneal lavage, and cholangiography are crucial for identifying gallbladder injuries.
- Ethanol abuse necessitates careful consideration in patients presenting with abdominal trauma and suspected gallbladder pathology.