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Updated: Jun 17, 2025
06:10
Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
Published on: August 23, 2022
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[Traumatic gallbladder rupture in a 9-year-old child].
R Kh Shangareeva1, I G Chendulaeva2, V D Kovaleva2
1Bashkir State Medical University, Ufa, Russia.
Khirurgiia
|August 14, 2024
Summary
Traumatic gallbladder rupture is rare, especially in children. This case highlights delayed peritonitis due to omental wrapping, emphasizing the need for comprehensive imaging in combined injuries.
Area of Science:
- Trauma Surgery
- Pediatric Surgery
- Abdominal Imaging
Background:
- Gallbladder rupture following blunt abdominal trauma is an uncommon injury.
- Delayed presentation of peritonitis can occur due to protective mechanisms like omental wrapping.
Purpose of the Study:
- To report a rare case of traumatic gallbladder rupture in a pediatric patient.
- To discuss the diagnostic challenges and imaging findings associated with delayed presentation.
Main Methods:
- Case report of a 9-year-old boy with abdominal trauma.
- Clinical evaluation, serial ultrasounds, and intraoperative findings.
- Management included hemostatic therapy and cholecystectomy.
Main Results:
- Initial diagnosis focused on splenic injury and hemoperitoneum.
- Delayed peritonitis developed, attributed to a bile-soaked omentum obstructing the gallbladder tear.
- Ultrasound revealed gallbladder enlargement, heterogeneous content, and free fluid, indicative of rupture.
Conclusions:
- Traumatic gallbladder rupture can be challenging to diagnose, particularly with combined injuries.
- Omental wrapping can delay bile leakage and peritonitis.
- Comprehensive imaging, including computed tomography, is crucial for evaluating combined abdominal trauma.
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