scholarly journals Do you think of gangrenous gallbladder following blunt trauma abdomen? a rare case report

2021 ◽  
Vol 8 (12) ◽  
pp. 3720
Author(s):  
Nilesh Jagne ◽  
Ajay Kumar ◽  
Ajay Dhiman ◽  
Vishal Patil ◽  
Madhur Uniyal

Isolated gangrenous gallbladder secondary to blunt trauma abdomen (BTA) is the rarest entity comes with great challenge due to low incidence. Gallbladder injury was reported to be between 1.9%-2.1% of all abdominal trauma, out of it, gall bladder rupture seen in <1%. Till date only one case report has been published. Clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. This case report describes a significant mechanism of blunt force injury resulting in an isolated gangrenous gallbladder as it is a relatively well-protected organ; consequently, its gangrenous following blunt abdominal injury is rare and usually associated with other visceral injuries. Almost all gallbladder injuries following blunt trauma are associated with other significant intra-abdominal injuries and in the setting of acute trauma. We recommend an open procedure to facilitate a detailed exploration to exclude associated injuries. We report a case of a healthy 23years old adult male who sustained isolated gangrenous gallbladder following BTA who sustained injury following fall from riding a two wheeler motor cycle. We recommend an open cholecystectomy procedure to facilitate a detailed exploration to exclude associated injuries and has a good outcome.

Author(s):  
Balamurugan Ganesan ◽  
Shirish Bhagvat ◽  
Amol Wagh ◽  
Hemant Jawale ◽  
Keerthika Reddy ◽  
...  

Author(s):  
Anwesa Chakraborty ◽  
Kaushik Mandal ◽  
Anirban Bhunia ◽  
Saikat Hasnat ◽  
Santanu Dutta

2014 ◽  
Vol 7 (1) ◽  
pp. 64-66
Author(s):  
Sekar Hariharasudhan ◽  
Sriram Krishnamoorthy ◽  
Sunil Shroff

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.


2013 ◽  
Vol 25 (2) ◽  
pp. 95-97
Author(s):  
Manpreet S. Salooja ◽  
Manender Singla ◽  
Anupam Srivastava ◽  
Kishore C. Mukherjee

2015 ◽  
Vol 42 (2) ◽  
pp. 120 ◽  
Author(s):  
SyedaSiddiqua Banu ◽  
SanjeevB Joshi ◽  
VidyadharA Kinhal ◽  
MaheshS Desai

2021 ◽  
Vol 8 (7) ◽  
pp. 2203
Author(s):  
Mallikarjun Bhingare ◽  
Anant Beedkar ◽  
Pankaj Vairagad ◽  
Dhanashree Lahane

Vaginal evisceration is a surgical emergency. It's a rare but potentially fatal disorder. Only a few examples of transvaginal omental evisceration have been reported worldwide, however no evidence of post-trauma abdominal evisceration has been found. Vaginal evisceration in premenopausal women has been recorded infrequently compared to postmenopausal women and it has been linked to sexual and obstetric trauma. We presented a case of a premenarchal female who came with transvaginal omental evisceration after a blunt abdominal trauma and discussed the treatment choices for this uncommon surgical emergency.


2019 ◽  
Vol 2 (1) ◽  
pp. 70-72
Author(s):  
Gakul Bhatta ◽  
Bala Ram Malla ◽  
Nripesh Rajbhandari

Perforation due to foreign body is not a common cause of surgical emergency. Delay in diagnosis might lead to peritonitis and subsequently sepsis and eventually death. A case with external ileal perforation warrants a wider knowledge sharing for the benefit of medical community. Thus, it makes a important case to be reported.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Selçuk Yetkinel ◽  
Çağhan Pekşen ◽  
Remzi Kızıltan

Introduction. Symptomatic Bochdalek hernia in pregnancy is quite rare. To the best of our knowledge, there are a total of 44 cases reported in the literature between 1959 and 2016 (Hernández-Aragon et al., 2015; Koca et al., 2016). Difficulty and delay in diagnosis may lead to life-threatening complications. Case Report. We report a case of Bochdalek hernia during the 30 gestational weeks’ pregnancy in whom pregnancy continued after surgical repair which resulted in term birth. Discussion. Bochdalek hernia is diagnosed with an incidence of 1 in 2200–12500 live births, while symptomatic diaphragm hernia is much less in adults. The actual incidence of diaphragmatic hernias during pregnancy is still unknown. Symptoms may include abdominal distension, recurrent abdominal pain, nausea, vomiting, inability to defecate, dyspnea, and chest pain. The patient with diaphragmatic hernia may be asymptomatic until the late weeks of gestation, as in our case, or herniation may occur during advanced gestational weeks with increased intraabdominal pressure. Conclusion. In conclusion, diagnosis of the diaphragm hernia during pregnancy is very rare. Diagnosis is rarer in symptomatic patients due to its rarity and the duration of diagnosis may, therefore, be delayed. Diaphragm hernia should be kept in mind in symptomatic patients due to its high maternal and fetal mortality rates.


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