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首页> 外文期刊>Pediatric emergency care >Traumatic Rupture of Choledochal Cyst in Children Use of Computed Tomography in the Emergency Department
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Traumatic Rupture of Choledochal Cyst in Children Use of Computed Tomography in the Emergency Department

机译：急诊科使用计算机断层扫描术对儿童胆总管囊肿的创伤性破裂

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摘要

The case of an 11-year-old girl who developed acute abdomen after an accidental fall over an iron bar is reported to discuss the diagnostic features and treatment options for traumatic rupture of a choledochal cyst (CC) in children. The patient was admitted to the emergency department with complaints of vomiting and abdominal pain. Physical examination revealed tenderness at the right upper quadrant of the abdomen. Computed tomography findings revealed a rupture of a type IV CC and laceration of the liver. Cholecystectomy, total excision of the cyst, and hepaticojejunostomy were performed. Traumatic rupture of a CC is extremely rare in children, and only 2 cases have been reported. Because patients can be misdiagnosed as experiencing liver hematoma, computed tomography should be performed for all patients with free fluid in the abdomen and cystic mass on the initial evaluation.
机译：据报道，一名11岁的女孩意外摔倒在铁棍上后出现急性腹部，该病例讨论了儿童胆总管囊肿（CC）创伤性破裂的诊断特征和治疗选择。该患者因呕吐和腹痛而入急诊科。体格检查发现腹部右上腹有压痛。计算机断层扫描结果显示IV型CC破裂和肝裂伤。进行了胆囊切除术，囊肿全切除和肝空肠吻合术。儿童的CC外伤性破裂极少见，仅报道了2例。由于可能将患者误诊为发生肝血肿，因此应在初次评估时对所有腹部自由液和囊性肿块的患者进行计算机断层扫描。

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