Injuries of the gall-bladder

Penn, Israel

doi:10.1002/bjs.18004921816

Cited by 51 publications

(33 citation statements)

References 32 publications

(12 reference statements)

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“…Traumatic cholecystitis as described by Penn [2] results from bleeding into the gallbladder either caused by gallbladder injury per se or liver damage, with bleeding into the bile ducts and regurgitation of blood into the gallbladder. Despite the fibrinolytic nature of bile, a greater tendency to form "pure" clots is seen with instances of minor bleeding.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Kirshtein

Lantsberg

Duchno

et al. 2002

European Journal of Trauma

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Background: With aging of the population, the incidence of trauma victims who are on anticoagulant or antiplatelet treatment is increasing. These patients are at risk of serious hemorrhage even after relatively minor trauma. They can also show bleeding in unusual locations with unusual consequences. Case Study: We report a previously undocumented bleeding complication in an anticoagulated patient, namely a delayed presentation of acute cholecystitis, where cystic duct obstruction was due to bleeding into the gallbladder after blunt abdominal trauma.

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Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Kirshtein

Lantsberg

Duchno

et al. 2002

European Journal of Trauma

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“…Daher ist die Mitverletzung der Gallenblase im Rahmen von stumpfen/penetrierenden Bauchtraumen ein seltenes Ereignis (Häufigkeit 0,5-8%) [25]. Ihre isolierte Schädigung nach stumpfen Bauchtraumen wird noch wesentlich seltener, in weniger als 2% der Fälle, gesehen [3,4,12,16,20,22,24]. Die Wahrscheinlichkeit, dass der einzelne Chirurg mit diesem Problem konfrontiert wird, ist folglich eher gering.…”

Section: Diskussionunclassified

“…Die Wahrscheinlichkeit, dass der einzelne Chirurg mit diesem Problem konfrontiert wird, ist folglich eher gering. Verschiedene Publikationen, u. a. eine Übersichtsarbeit mit 5670 Fällen penetrierender und stumpfer Verletzungen, haben sich diesem speziellen Problem gewidmet [16]. Auch in der "neueren" Fachliteratur werden in allen Sprachen immer wieder Fallbeschreibungen publiziert, Publikationen mit hohem Evidenzlevel fehlen jedoch.…”

Section: Diskussionunclassified

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Isolierte Gallenblasenverletzung

Sándor

Kiss

2006

Chirurg

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Isolated injuries to the gallbladder are extremely rare in blunt abdominal trauma, with a reported incidence of less than 2%. We report a case with partial avulsion of the gallbladder and subsequent hemorrhagic shock in a patient with liver cirrhosis. Although the gallbladder injury was demonstrated on CT images (with contrast enhancement in the bed of the gallbladder), the correct diagnosis was not established preoperatively. Emergency laparotomy revealed partial avulsion of the gallbladder and the underlying condition of severe liver cirrhosis with ascites. We estimate that the gallbladder avulsion occurred due to compressional waves of the ascites (during blunt abdominal injury) which may have sheared off the gallbladder from the cirrhotic liver. The patient received cholecystectomy, which is recommended as standard in case of gallbladder injury.

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“…1,2 Bleeding into the gallbladder lumen is one condition with a gallbladder injury, 3 but extraluminal bleeding is even rarer. Transcatheter arterial embolization has been widely used to control bleeding from a variety of sites and causes, but the cystic artery is seldom the source of bleeding.…”

Section: Introductionmentioning

confidence: 99%

Cystic artery bleeding due to blunt gallbladder injury: computed tomography findings and treatment with transcatheter arterial embolization

et al. 2010

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Blunt gallbladder injury is rare, and bleeding from the cystic artery due to blunt trauma is even rarer. We report herein a case of extraluminal bleeding of the gallbladder in a patient following blunt abdominal trauma. Contrast-enhanced computed tomography revealed pericholecystic fluid and extravasation of contrast material in the subcapsular liver space adjacent to the gallbladder. Abdominal digital subtraction angiography revealed pseudoaneurysm originating from a branch of the cystic artery. Successful treatment was achieved using selective transcatheter embolization, and cholecystectomy was not required.

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Injuries of the gall-bladder

Cited by 51 publications

References 32 publications

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Isolierte Gallenblasenverletzung

Cystic artery bleeding due to blunt gallbladder injury: computed tomography findings and treatment with transcatheter arterial embolization

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