Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury
Summary: Trauma is the leading cause of death among people aged 1–45 in the United States with the abdomen being the third most commonly injured anatomic region. The incidence of gallbladder trauma in the setting of abdominal injury ranges between 0.5 and 2.1 %. While gallbladder injuries secondary...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000814 |
| _version_ | 1828231152571252736 |
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| author | Vatche Melkonian Evan Sharp Vicki Moran John Culhane Carl Freeman |
| author_facet | Vatche Melkonian Evan Sharp Vicki Moran John Culhane Carl Freeman |
| author_sort | Vatche Melkonian |
| collection | DOAJ |
| description | Summary: Trauma is the leading cause of death among people aged 1–45 in the United States with the abdomen being the third most commonly injured anatomic region. The incidence of gallbladder trauma in the setting of abdominal injury ranges between 0.5 and 2.1 %. While gallbladder injuries secondary to penetrating abdominal wounds are found intra-operatively owing to the likely progression towards laparotomy, due to the paradigm shift of non-operative management of blunt liver injuries, the diagnosis of blunt gallbladder injuries are commonly delayed upwards of 1 to 6 weeks. 4 We present a case of a pre-emptive cholecystectomy less than 36 h after sustaining a grade V liver injury status post blunt abdominal trauma in effort emphasize the importance of critical review of diagnostic images, and support the utilization of diagnostic laparoscopy to definitively diagnose and manage traumatic blunt gallbladder injuries. When operative intervention is not performed, the nonspecific findings suggestive of gallbladder injuries can lead to delayed diagnosis and subsequent increased morbidity and mortality. Due to the lack of previous guidelines we propose a diagnostic algorithm for the approach of traumatic blunt gallbladder injuries. |
| first_indexed | 2024-04-12T18:59:14Z |
| format | Article |
| id | doaj.art-fea2459b05d8437ca2c281ff45b14b3a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-12T18:59:14Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-fea2459b05d8437ca2c281ff45b14b3a2022-12-22T03:20:14ZengElsevierTrauma Case Reports2352-64402022-10-0141100685Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injuryVatche Melkonian0Evan Sharp1Vicki Moran2John Culhane3Carl Freeman4Trauma and Acute Care Surgery, St. Louis University Hospital, St. Louis, MO, USA; Corresponding author at: St. Louis University Hospital, 1202 S. Grand Blvd, St. Louis, MO 63104, USA.St. Louis University Medical School, St. Louis, MO, USATrauma and Acute Care Surgery, St. Louis University Hospital, St. Louis, MO, USATrauma and Acute Care Surgery, St. Louis University Hospital, St. Louis, MO, USATrauma and Acute Care Surgery, St. Louis University Hospital, St. Louis, MO, USASummary: Trauma is the leading cause of death among people aged 1–45 in the United States with the abdomen being the third most commonly injured anatomic region. The incidence of gallbladder trauma in the setting of abdominal injury ranges between 0.5 and 2.1 %. While gallbladder injuries secondary to penetrating abdominal wounds are found intra-operatively owing to the likely progression towards laparotomy, due to the paradigm shift of non-operative management of blunt liver injuries, the diagnosis of blunt gallbladder injuries are commonly delayed upwards of 1 to 6 weeks. 4 We present a case of a pre-emptive cholecystectomy less than 36 h after sustaining a grade V liver injury status post blunt abdominal trauma in effort emphasize the importance of critical review of diagnostic images, and support the utilization of diagnostic laparoscopy to definitively diagnose and manage traumatic blunt gallbladder injuries. When operative intervention is not performed, the nonspecific findings suggestive of gallbladder injuries can lead to delayed diagnosis and subsequent increased morbidity and mortality. Due to the lack of previous guidelines we propose a diagnostic algorithm for the approach of traumatic blunt gallbladder injuries.http://www.sciencedirect.com/science/article/pii/S2352644022000814BluntGallbladderTraumaAvulsionDiagnostic laparoscopy |
| spellingShingle | Vatche Melkonian Evan Sharp Vicki Moran John Culhane Carl Freeman Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury Trauma Case Reports Blunt Gallbladder Trauma Avulsion Diagnostic laparoscopy |
| title | Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| title_full | Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| title_fullStr | Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| title_full_unstemmed | Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| title_short | Proposed management of traumatic blunt gallbladder injuries: A case of a pre-emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| title_sort | proposed management of traumatic blunt gallbladder injuries a case of a pre emptive laparoscopic cholecystectomy for suspected gallbladder avulsion after blunt traumatic liver injury |
| topic | Blunt Gallbladder Trauma Avulsion Diagnostic laparoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000814 |
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