Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature.
Τίτλος | Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Pavlidis, T. E., Lalountas M. A., Psarras K., Symeonidis N. G., Tsitlakidis A., Pavlidis E. T., Ballas K., Flaris N., Marakis G. N., & Sakantamis A. K. |
Journal | J Med Case Rep |
Volume | 5 |
Pagination | 392 |
Date Published | 2011 Aug 18 |
ISSN | 1752-1947 |
Abstract | 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. |
DOI | 10.1186/1752-1947-5-392 |
Alternate Journal | J Med Case Rep |
PubMed ID | 21851630 |
PubMed Central ID | PMC3169498 |