Nelimar Cruz-Centeno, Shai Stewart, Derek R Marlor, Charlene Dekonenko, Richard J Hendrickson
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引用次数: 0
摘要
穿透性胆囊损伤在儿童中并不常见。治疗方法因损伤的严重程度和患者的血液动力学而异。我们介绍了一例 11 岁男性患者的病例，患者右上腹意外受到弹丸枪伤，导致肝脏 III 级裂伤和胆囊前壁损伤。患者接受了腹腔镜胆囊切除术，并放置了引流管。术后对手术标本进行放射检查，证实胆囊内有颗粒存在。患者恢复顺利，术后第 3 天出院回家。对于血流动力学稳定的穿透性胆囊损伤患者，腹腔镜胆囊切除术是一种可行的治疗方案。
Penetrating gallbladder injury in a pediatric patient in the United States: a case report.
Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to the severity of the injury and the patient's hemodynamics. We present the case of an 11-year-old male with an accidental pellet gunshot wound to the right upper abdomen that resulted in a grade III liver laceration and damage to the anterior gallbladder wall. The patient underwent laparoscopic cholecystectomy with drain placement. Postoperative radiography of the surgical specimen confirmed the presence of the pellet in the gallbladder. The patient recovered uneventfully and was discharged home on postoperative day 3. Laparoscopic cholecystectomy is a feasible treatment option for penetrating gallbladder injuries in hemodynamically stable patients.
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