TY  - JOUR
T1  - Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis
TT  - Künt abdominal travma sonrası safra kesesi hasarı; Teşhis için görüntüleme ipuçları
AU  - Tiryaki Baştuğ, Betül
AU  - Badak, Bartu
PY  - 2020
DA  - May
DO  - 10.28982/josam.735418
JF  - Journal of Surgery and Medicine
JO  - J Surg Med
PB  - Selçuk BAŞAK
WT  - DergiPark
SN  - 2602-2079
SP  - 426
EP  - 428
VL  - 4
IS  - 5
LA  - en
AB  - Traumatic gallbladder injuries are rare and difficult to diagnose. Even if imaging methods including ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI) are used, it is highly challenging to detect a defect in the gallbladder wall. In a patient with blunt abdominal trauma, these clues should raise suspicion of gallbladder rupture: Hepatic laceration extending to the gallbladder area, increased abdominal distention and abdominal pain in physical examination, unfilled gallbladder and intra-abdominal increased fluid in imaging. Free fluid sampling should be performed in such patients. We herein presented the diagnostic processes of a 33-year-old woman who underwent laparotomy due to gallbladder rupture with hepatic laceration after a traffic accident.
KW  - Blunt abdominal trauma
KW  - Gallbladder rupture
KW  - Imaging clues
N2  - Travmatik safra kesesi yaralanmaları nadirdir ve teşhis edilmesi zordur. Ultrasonografi, bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRI) gibi görüntüleme yöntemleri kullanılsa bile safra kesesi duvarındaki defektleri tespit etmek oldukça zordur. Ameliyattan önce safra kesesi rüptürünün teşhisi genellikle güçtür. Künt karın travması olan bir hastada, klinik takipte, sayılan ipuçları safra kesesi rüptüründen şüphelendirmelidir: Görüntülemesinde safra kesesi bölgesine uzanan hepatik laserasyon, takiplerinde artmış abdominal distansiyon ve abdominal ağrı, takip görüntülemelerinde hiç dolmayan safra kesesi ve karın içi artmış sıvı. Bu tür hastalara serbest sıvı örneklemesi yapılmalıdır. Burada, laparotomi uygulanan 33 yaşında trafik kazası sonrası karaciğer laserasyonu bulunan bir kadın hastanın safra kesesi rüptürü tanısı ve tanıya götüren ipuçları takdim edildi.
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UR  - https://doi.org/10.28982/josam.735418
L1  - https://dergipark.org.tr/tr/download/article-file/1135868
ER  -