Year 2020, Volume 4 , Issue 5, Pages 426 - 428 2020-05-01

Künt abdominal travma sonrası safra kesesi hasarı; Teşhis için görüntüleme ipuçları
Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis

Betül TİRYAKİ BAŞTUĞ [1] , Bartu BADAK [2]


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.

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.
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Primary Language en
Subjects Emergency Medicine
Journal Section Case report
Authors

Orcid: 0000-0001-7793-7887
Author: Betül TİRYAKİ BAŞTUĞ (Primary Author)
Institution: Eskişehir osmangazi üniversitesi tıp fakültesi radyoloji anabilim dali
Country: Turkey


Orcid: 0000-0003-3465-8719
Author: Bartu BADAK
Institution: Eskişehir Osmangazi Universitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı
Country: Turkey


Dates

Publication Date : May 1, 2020

Bibtex @case report { josam735418, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {426 - 428}, doi = {10.28982/josam.735418}, title = {Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis}, key = {cite}, author = {Ti̇ryaki̇ Baştuğ, Betül and Badak, Bartu} }
APA Ti̇ryaki̇ Baştuğ, B , Badak, B . (2020). Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis . Journal of Surgery and Medicine , 4 (5) , 426-428 . DOI: 10.28982/josam.735418
MLA Ti̇ryaki̇ Baştuğ, B , Badak, B . "Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis" . Journal of Surgery and Medicine 4 (2020 ): 426-428 <http://jsurgmed.com/en/pub/issue/54145/735418>
Chicago Ti̇ryaki̇ Baştuğ, B , Badak, B . "Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis". Journal of Surgery and Medicine 4 (2020 ): 426-428
RIS TY - JOUR T1 - Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis AU - Betül Ti̇ryaki̇ Baştuğ , Bartu Badak Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.735418 DO - 10.28982/josam.735418 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 426 EP - 428 VL - 4 IS - 5 SN - -2602-2079 M3 - doi: 10.28982/josam.735418 UR - https://doi.org/10.28982/josam.735418 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis %A Betül Ti̇ryaki̇ Baştuğ , Bartu Badak %T Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 5 %R doi: 10.28982/josam.735418 %U 10.28982/josam.735418
ISNAD Ti̇ryaki̇ Baştuğ, Betül , Badak, Bartu . "Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis". Journal of Surgery and Medicine 4 / 5 (May 2020): 426-428 . https://doi.org/10.28982/josam.735418
AMA Ti̇ryaki̇ Baştuğ B , Badak B . Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis. J Surg Med. 2020; 4(5): 426-428.
Vancouver Ti̇ryaki̇ Baştuğ B , Badak B . Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis. Journal of Surgery and Medicine. 2020; 4(5): 426-428.