Gall bladder injuries as part of the spectrum of civilian abdominal trauma in South Africa.
ANZ J Surg
; 75(7): 559-61, 2005 Jul.
Article
em En
| MEDLINE
| ID: mdl-15972047
ABSTRACT
BACKGROUND:
Trauma to the gall bladder is rare, but when missed or improperly managed it may be associated with significant morbidity. The aim of the present study was to review the management and outcomes of gall bladder trauma in a trauma centre.METHODS:
Forty-three patients with gall bladder injury due to abdominal trauma were reviewed over a 3-year period. Surgical management, associated injuries, morbidity and mortality rates were determined.RESULTS:
Among 1242 patients undergoing laparotomy for acute trauma, 43 patients (3.46%) with gall bladder injuries were identified. Forty patients sustained penetrating injuries (37 with gunshot wounds and three with stab wounds), and three patients suffered from blunt trauma. All patients with gall bladder injury underwent abdominal exploration because of associated intra-abdominal injuries. Thirty-six patients were treated with cholecystectomy, four patients underwent primary suture repair of the gall bladder perforation, while three patients with gall bladder injury were treated without any surgical intervention at laparotomy. No complications could be attributed to the gall bladder trauma or surgery.CONCLUSION:
Cholecystectomy is the preferred procedure of choice for gall bladder injuries and is associated with no morbidity.
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Base de dados:
MEDLINE
Assunto principal:
Vesícula Biliar
/
Traumatismos Abdominais
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
ANZ J Surg
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
África do Sul