Assuntos
Infecções por HIV/complicações , Infecções por Mycobacterium não Tuberculosas/complicações , Dermatopatias Bacterianas/complicações , Adolescente , HIV-1 , HIV-2 , Humanos , Masculino , Infecções por Mycobacterium não Tuberculosas/diagnóstico , Infecções por Mycobacterium não Tuberculosas/tratamento farmacológico , Micobactérias não Tuberculosas/isolamento & purificação , Dermatopatias Bacterianas/diagnóstico , Dermatopatias Bacterianas/tratamento farmacológicoRESUMO
OBJECTIVE: To illustrate blunt traumatic injury of the gallbladder in childhood. DESIGN: A case report. SETTING: Hospital. SUBJECT: An eight year old boy. MAIN OUTCOME MEASURE: Incidence, history, treatment. RESULT: The gallbladder was ruptured at the neck necessitating a cholecystectomy. The child has remained well at three months follow up. CONCLUSIONS: Blunt traumatic injury of the gallbladder, though rare, does occur usually as a consequence of direct abdominal injury especially in children during sporting activities and fights. Minor injuries can be repaired but cholecystectomy is necessary in more extensive injuries or injury to the cystic duct and neck. A comprehensive history taking including direct questioning regarding trauma and a high index of suspicion are important for early diagnosis and prompt treatment.
