PDF(Pubmed)
Abstract：
Gallbladder rupture caused by blunt abdominal trauma is an uncommon injury, particularly in children. This condition occurs even less frequently in children with common bile duct cysts. The history is difficult to obtain, the clinical symptoms are indistinct, and their assessment is obscured by a slew of other lesions. Radiography cannot produce clear images. Thus, the diagnosis is frequently delayed and confirmed only during surgery. Case reports of gallbladder injury after abdominal trauma are relatively rare and there are only 50 case reports in literature for 100 years. Herein, we present the case of an 18-month-old girl who had a ruptured gallbladder funnel due to blunt abdominal trauma caused by domestic violence, with an early clinical presentation of septic shock and chylous effusion. The patient underwent surgery after being diagnosed with chylous ascites that had not responded to medical treatment. Based on the findings, single-stage laparoscopic surgery is confirmed to aid in the diagnosis and treatment of gallbladder injury in the presence of a common bile duct cyst.
摘要：
闭合性腹部外伤引起的胆囊破裂是一种罕见的损伤，特别是在儿童中。这种情况在患有胆总管囊肿的儿童中发生的频率甚至更低。历史很难获得，临床症状不明显，他们的评估被一系列其他病变所掩盖。射线照相不能产生清晰的图像。因此，诊断经常延迟，仅在手术过程中得到证实。腹部创伤后胆囊损伤的病例报道相对较少，100年的文献报道仅有50例。在这里，我们介绍了一个18个月大的女孩，由于家庭暴力引起的钝性腹部创伤，胆囊漏斗破裂，早期临床表现为感染性休克和乳糜积液。患者在被诊断为乳糜腹水后接受了手术，对药物治疗没有反应。根据调查结果,证实单期腹腔镜手术有助于诊断和治疗胆总管囊肿存在的胆囊损伤。
