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Blunt trauma to the extrahepatic biliary tract. A multicenter study

jbzy513 添加于 2010-2-6 16:14 | 1667 次阅读 | 0 个评论

作者
Pikoulis E, Daskalakis P, Avgerinos ED, Gougoudi E, Karavokyros I, Leppaniemi A, Pavlakis E, Filippou DK, Psalidas N, Condilis N, Tsatsoulis P
摘要
BACKGROUND/AIMS: Blunt trauma to the extrahepatic biliary tract is a rare and challenging injury The purpose of this paper is to review our experience of these injuries, with special reference to their clinical presentation. PATIENTS AND METHODS: In a retrospective multicenter study of the records of a trauma-admitting in three hospitals, seven patients with blunt extrahepatic biliary tract trauma were identified, one with combined gallbladder and common bile duct injuries and six with a ruptured gallbladder. RESULTS: Except for the patient with the common bile duct injury developing peritoneal signs during observation and being operated 24 hours post-admission, all other patients underwent early laparotomy for shock, peritonitis or positive diagnostic peritoneal lavage (DPL) caused by associated injuries. The common bile duct injury was treated with suture repair over a T tube and the gallbladder injuries with cholecystectomy, except for two cases in which a cholecystostomy was performed. CONCLUSIONS: In patients with blunt trauma, especially to the right upper quadrant, a high index of suspicion and liberal use of diagnostic studies to exclude an isolated extrahepatic biliary tract injury is recommended.
详细资料
- 关键词: Adult; Aged, 80 and over; Bile Ducts, Extrahepatic/*injuries/*surgery; Female; Humans; Male; Retrospective Studies; Wounds, Nonpenetrating/*surgery
- 期刊名称: Annali Italiani di Chirurgia
- 期刊缩写: Ann Ital Chir
- 期卷页: 2006年第77卷第4期 319-322页
- 地址: Second Department of Surgery, General Hospital ASCLEPEION Voulas, Athens, Greece
- ISBN: 0003-469X
- 备注:PMID:17139961
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