Complex stab related injuries involving the diaphragm, bowel and cystic duct: a case report

Authors

  • Yash Jain Department of Surgery, Trauma Care Centre, Government Medical College, Nagpur, Maharashtra, India
  • Abdul Haque M. Quraishi Department of Surgery, Trauma Care Centre, Government Medical College, Nagpur, Maharashtra, India
  • Pankaj Tongse Department of Surgery, Trauma Care Centre, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20240597

Keywords:

Penetrating trauma, Cystic duct injury, Extrahepatic bile duct injury, Stab

Abstract

Penetrating abdominal trauma is a major killer worldwide. Biliary duct injuries resulting from penetrating stab wounds are rare but potentially life-threatening occurrences. This case report outlines a rare case, diagnosis, surgical management, and postoperative outcomes of a patient who sustained a cystic duct injury due to a penetrating stab wound. There is paucity of such cases in the literature. A 55-year-old man sustained a penetrating wound and was found to have cystic duct injury intra-operatively along with other multi-visceral injury. The patient underwent a cholecystectomy with the management of associated injuries. The report aims to highlight the rarity yet the possibility of such injuries and emphasize the importance of a high index of suspicion.

References

Akturk OM. Akturk, Okan Murat. The Management of Gallbladder and Extrahepatic Biliary Duct Injuries. Haydarpasa Numune Training and Research Hospital Med J. 2020;60(3):288-91.

Ball CG, Dixon E, Kirkpatrick AW, Sutherland FR, Laupland KB, Feliciano DV. A decade of experience with injuries to the gallbladder. J Trauma Manag Outcomes. 2010;4:3.

Sarma DR, Jeyasekharan SS. Penetrating Injury to the Gallbladder by a Needle Fish. Indian J Surg. 2016;78(2):147-8.

Soderstrom CA, Maekawa K, DuPriest RW, Cowley RA. Gallbladder injuries resulting from blunt abdominal trauma: an experience and review. Ann Surg. 1981;193(1):60-66.

Zellweger R, Navsaria PH, Hess F, Omoshoro-Jones J, Kahn D, Nicol AJ. Gall bladder injuries as part of the spectrum of civilian abdominal trauma in South Africa. ANZ J Surg. 2005;75(7):559-61.

Ajlan AM, Alqahtani A, Kellow Z. Intracholecystic fat herniation in traumatic gallbladder perforation: a case report. J Comput Assist Tomogr. 2009;33(3):408-9.

McNabney WK, Rudek R, Pemberton LB. The significance of gallbladder trauma. J Emerg Med. 1990;8(3):277-80.

Penn I. Injuries of the gall-bladder. Br J Surg. 1962;49:636-41.

Çakır M, Aktürk OM. The Management of Gallbladder and Extrahepatic Biliary Duct Injuries. Haydarpasa Numune Med J. 2020;60:288-91.

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Published

2024-02-29

Issue

Section

Case Reports