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

Yash Jain, Abdul Haque M. Quraishi, Pankaj Tongse
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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.
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涉及横膈膜、肠管和胆囊管的复杂刺伤:病例报告
腹部穿透性创伤是全世界的一大杀手。穿透性刺伤导致的胆管损伤非常罕见,但有可能危及生命。本病例报告概述了一个罕见病例、诊断、手术治疗以及一名因穿透性刺伤导致胆囊管损伤的患者的术后结果。此类病例在文献中很少见。一名 55 岁的男子被刺伤,术中发现其囊管损伤,同时伴有其他多脏器损伤。患者接受了胆囊切除术,并对相关损伤进行了处理。本报告旨在强调此类损伤的罕见性和可能性,并强调高度怀疑的重要性。
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