透過您的圖書館登入
IP:52.15.112.69
  • 期刊

Isolated Complete Transection of Common Bile Duct after Blunt Abdominal Trauma: A Case Report and Literature Review

腹部鈍挫傷後總膽管單獨完全斷裂:一病例報告及文獻回顧

摘要


報告一例31歲男性病人,在腹部鈍挫傷後造成總膽管單獨完全斷裂,腹部超音波及電腦斷層顯示腹內液體積聚,剖腹探查中發現總膽管斷裂,並成功地由初級端對端縫合,T型管支撐及膽囊造口治療。延遲診斷是常見,但病人在腹部鈍挫傷後有膽汁性腹水、腹脹、黃膽時必須考慮到,本篇回顧文獻有關受傷的可能機轉、診斷及治療的方法。

並列摘要


A case of an isolated complete transection of the common bile duct, due to blunt abdominal trauma, in a 31-year- old man is presented. Abdominal ultrasound and CT scan showed an intraabdominal fluid collection. Common bile duct (CBD) transection was found at laparotomy and was successfully treated by primary end-to-end anastomosis with a T-tube stent and cholecystostomy. Delayed diagnosis is common, but this injury should always be considered when a patient has bile-stained ascites, abdominal distention and jaundice after blunt abdominal trauma. A review of the literature, possible mechanism of injury, and methods of diagnosis and treatment are described.

延伸閱讀