Type:
Educational Exhibit
Keywords:
Trauma, Drainage, Ultrasound, CT, Emergency, Biliary Tract / Gallbladder, Abdomen
Authors:
J. Codina, N. ROMERO FLOREZ, A. Villar Cánovas, J. Cambronero, M. Casellas, J. Soriano, N. Cañete, A. Maroto; Girona/ES
DOI:
10.1594/ecr2013/C-1053
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 a high percentage of abdominal blunt trauma.
Gallbladder has a deep situation surrounded in the major part for liver parenchyma.
Non-solid composition implies possibility to deformation without breaking.
Small percentage of affection is reported.
Intrinsic protective factors are:
- Low tone of Oddi's sphincter (increased tone with alcohol ingestion,
decreased if papillotomy was performed) acting as a valve for Gallbladder bile.
- Lack of Gallbladder filling,
related with recent intake.
- Previous healthy walls.
Materials and methods:
A retrospective review of the abdominal politrauma CT examinations from January 2010 to October 2012 (n=523) was done.
We found 2 cases of gallbladder injuries (0.48 % in our serie).
The mechanism was motor vehicle collision in both cases.