Learning objectives
-To describe the classical CT and US findings of the injury of the gallbladder in abdominal blunt trauma found on the review of politraumtic patients in the last 2 years at our hospital.
- To report a non-described before CT finding for lesion of gallbladder due cystic arterial thrombosis.
Background
Introduction:
Traumatic events can produce multiple injuries.
Lesions suspect could be higher or lower depending on the initial clinical exploration.
Sensibility for detecting presence or absence of abdominal injuries could be as low as 60% on emergency room initial exploration.
Radiological imaging,
with CT and US,
may determine presence of abdominal injuries,
its grade and orients to optimal treatment.
Splenic,
hepatic,
renal and suprarenal lesions are found in ahigh percentage of abdominal blunt trauma.
Gallbladder has a deep situation surrounded in the major part for...
Imaging findings OR Procedure details
We analyze both cases:
CASE 1
The first one was a 16 years old female with frontal car collision.
Was hemodynamically stable,
with diffuse abdominal mild pain.
The CT Gallbladder findings were pericholecystic fluid,
ill-defined walls with doubtful absence of little segment and hyperdense content. Was orientated as a contused Gallbladder with possible rupture of a little segment next to the neck.
(Fig.
1andFig.
2)
Other abdominal lesions were liver and spleen laceration,
and suprarenal and renal contusions. Neither chirurgical treatment was required for them....
Conclusion
- Accurate evaluation of radiology imaging can help to diagnose promptly gallbladder injuries.
- Increased mural enhancement should be considered as a finding suggesting gallbladder injury due arterial cystic thrombosis.
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