TITLE:
Post-Traumatic Gallbladder Injury in Children: Case Rapport
AUTHORS:
F. B. Balde, T. Mukengue, I. Oualili, Z. Benmassaoud, K. Khatalla, A. Mahmoudi, Y. Bouabdallah
KEYWORDS:
Gall Bladder, Trauma, Perforation
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.3,
September
27,
2020
ABSTRACT: Post-traumatic injuries of the gall bladder are
rare. We report through a clinical description of its physio-pathological and
evolutionary aspects. A 14-year-old boy was received 48 hours after a stabbing
attack. After initial haemorrhage, the patient presented clinical improvement;
then a sudden deterioration with vague symptoms and disturbance of the hepatic
balance. The abdominal CT scan revealed a perivesicular hematoma with a focus
on hepatic contusion. Laparoscopy showed a penetrating sore of the liver, but
the exploration was limited by an important inflammation of the digestive
tract. The diagnosis of gall bladder perforation was made during the operation.
We performed a cholecystectomy by laparotomy. Postoperative evolution was
simple, removal of the slides at D + 4 and discharged at D + 7 postoperative
after improvement. At the 6th month, he presented an acute intestinal
obstruction on bridles, managed at emergency by open surgery. After one year of
follow up, the patient has no symptoms. We note that the vague clinical
presentation and the limit of imaging examinations made the early diagnosis of
a vesicular perforation a real challenge for the clinician. Cholecystectomy
remains the optimal treatment.