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A case of gallbladder perforation detected by sonography after a blunt abdominal trauma

机译:腹部钝性损伤经超声检查发现胆囊穿孔1例

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摘要

Gallbladder (GB) perforation is a very rare posttraumatic abdominal injury. It is potentially life-threatening, and good outcome requires early diagnosis. We present a case of isolated posttraumatic GB perforation in which the precise sonographic (US) diagnosis led us to apply proper management. Color Doppler US showed a clear to-and-fro flow signal passing through the perforation site, and contrast-enhanced US confirmed the presence of a small defect in the GB wall. When examining posttraumatic patients, the possibility of GB perforation must be kept in mind. Color Doppler US and contrast-enhanced US are the examinations of choice to detect the perforation site and show bile movement through the perforation.
机译:胆囊穿孔是一种非常罕见的创伤后腹部损伤。它可能会危及生命,要取得良好的结果就需要早期诊断。我们介绍了一例孤立的创伤后GB穿孔,其中精确的超声(美国)诊断促使我们进行适当的管理。彩色多普勒超声显示清晰的来回流量信号通过穿孔部位,而增强造影的超声证实在GB壁中存在小缺陷。在检查创伤后患者时,必须牢记GB穿孔的可能性。彩色多普勒超声和对比增强超声是检查穿孔部位并显示胆汁在穿孔中运动的首选检查方法。

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