| Author/Editor | Sever, Marko; Prinčič, Janez; Štor, Zdravko | |
| Title | Travmatska ruptura žolčnika | |
| Translated title | Traumatic rupture of the gallbladder | |
| Type | članek | |
| Source | Endoskopska revija | |
| Vol. and No. | Letnik 5, št. 12-13 | |
| Publication year | 2000 | |
| Volume | str. 89-91 | |
| Language | slo | |
| Abstract | Background. In addition to clinical picture, US, CT and peritoneal lavage, laparoscopy has been increasingly used in the diagnosis and operative treatment of abdominal trauma. Diagnostic laparoscopy enables the surgeon to adopt optimal treatment strategies in patients with intraabdominal injuries. Case report. A 56-year-old patient fell from a ladder 3 meters high, sustaining injuries to the head chest and abdomen. There were symptoms of peritoneal irritration, and US disclosed free fluid in the abdominal cavity. Laparoscopy confirmed the presence of bile in the abdominal cavity. Concomitant retroperitoneal injuries were excluded by laparotomy, and cholecystectomy of the ruptured gallbladder was done. Conclusion. Diagnostic laparoscopy plays a key role in the management of abdominal trauma. It allows for proper and timely treatment by laparoscopy or, if decided, by laparotomy. | |
| Summary | Izhodišča. Pri diagnostiki akutnega abdomna zaradi poškodbe nam je v pomoč poleg klinične slike še UZ in CT preiskava ter peritonealna lavaža. V zadnjem času pa čedalje več uporabljamo laparoscopijo, ki se lahko nadaljuje z laparoskopsko operacijo. Laparoscopija omogoča optimalno strategijo zdravljenja poškodbe abdomna. Prikaz bolnika. Predstavljamo 56-letnega bolnika F. J., ki je padel 3 m globoko z lestve in se je udaril po glavi, prsnem košu in trebuhu. Klinično smo ugotavljali bolečnost v epigastriju in pod DRL z lokalnim draženjem peritoneja. UZ je potrdil prosto tekočino v trebuhu poleg žolčnih kamnov. Z laparoskopijo smo dokazali obilo žolča v trebušni votlini. Po preklopu v laparotomijo smo našli drobno perforacijo žolčnika. Pri reviziji abdomna nismo našli poškodb na sosednjih organih. Naredili smo holecistekomijo. Zaključek. Vloga diagnostične laparoskopije pri poškodbah abdomna je neizpodbitna. Omogoča pravočasno in ustrezno zdravljenje bodisi laparoskopsko ali z izbrano laparotomijo. | |
| Descriptors | GALLBLADDER RUPTURE ABDOMEN, ACUTE MIDDLE AGE SURGERY, LAPAROSCOPIC LAPAROSCOPY |