복부 둔상 후 발생한 담낭의 단독 손상
Isolated Gallbladder Injury after Blunt Abdominal Trauma
김영환, 조용필, 한명식, 정성문, 강길현, 장혁재, 김용호, 최윤백,
소속 상세정보
김영환 ( Kim Young-Hwan )
울산대학교 의과대학 서울아산병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
정성문 ( Jeong Sung-Moon )
울산대학교 의과대학 서울아산병원 마취통증의학과
강길현 ( Kang Gil-Hyun )
울산대학교 의과대학 강릉아산병원 병리과
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과학교실
최윤백 ( Choi Youn-Baik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320040670030253
Abstract
An isolated injury of the gallbladder rarely occurs after blunt abdominal trauma and is usually associated with damage to other intra-abdominal organs, which clearly necessitating surgical intervention. Blunt abdominal trauma is often overlooked because there may be no visible signs on the abdominal wall. It is important to closely follow up patients and look for early signs of organ damage as an isolated injury of the gallbladder often follows a vague and insidious clinical course. A combination of special investigations, including a contrast enhanced computed tomographic scan, may be required to confirm the diagnosis of this relatively rare, but serious injury, and if a lesion is suspected, a laparoscopy can be successfully used to confirm the diagnosis and treat this condition without the usual requirement of open exploration. Unfortunately, in our case, a laparoscopy could not be performed due to the patient having undergone previous surgery for early gastric cancer. Herein, the case of a 56-year-old male presenting with an isolated gallbladder injury immediately after violent blunt abdominal trauma, diagnosed on the basis of a computed tomographic scan, which was treated successfully, is reported.
키워드
담낭; 복부 손상; 외상; Gallbladder; Abdominal injuries; Trauma
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