A Case of Gallbladder Intramural Hematoma in Blunt Trauma Treated with Conservative Therapy

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  • 保存的に治療した鈍的損傷による胆嚢壁内血腫の1例

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Abstract

The patient was a 39-year-old woman working in our hospital as a nurse. The chief complaint was right upper abdominal pain. While driving her car, she was struck from the rear and suffered an upper abdominal lesion from the seat belt. The pain improved for a time, but on the 5th day after the accident, the pain appeared again. On the 8th day she came to our hospital. An abdominal CT scan and ultrasonography showed thickening of the gallbladder wall with suspected hemorrhage. The patient wanted to be treated as an outpatient, so we decided to continue conservative care. On 14th day, the pain was alleviated and imaging thereafter revealed recovery of the gallbladder to a normal condition. Cases of gallbladder injury in blunt trauma treated with conservative care are rare, so we report on our present case with a review of the literature.

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