Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): A case report and review of the literature

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Abstract

Introduction. Injury of the gallbladder after blunt abdominal trauma is an unusual finding; the reported incidence is less than 2%. Three groups of injuries are described: simple contusion, laceration, and avulsion, the last of which can be partial, complete, or total traumatic cholecystectomy. Case presentation. A case of isolated complete avulsion of the gallbladder (near traumatic cholecystectomy) from its hepatic bed in a 46-year-old Caucasian man without any other sign of injury is presented. The avulsion was due to blunt abdominal trauma after a car accident. The rarity of this injury and the stable condition of our patient at the initial presentation warrant a description. The diagnosis was made incidentally after a computed tomography scan, and our patient was treated successfully with ligation of the cystic duct and artery, removal of the gallbladder, coagulation of the bleeding points, and placement of a drain. Conclusions: Early diagnosis of such injuries is quite difficult because abdominal signs are poor, non-specific, or even absent. Therefore, a computed tomography scan should be performed when the mechanism of injury is indicated. © 2011 Pavlidis et al; licensee BioMed Central Ltd.

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Pavlidis, T. E., Lalountas, M. A., Psarras, K., Symeonidis, N. G., Tsitlakidis, A., Pavlidis, E. T., … Sakantamis, A. K. (2011). Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): A case report and review of the literature. Journal of Medical Case Reports. https://doi.org/10.1186/1752-1947-5-392

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