Diagnosis of traumatic gallbladder avulsion: Role of sagittal and coronal computed tomographic reformations

Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report

“…This report is a rare case of death due to gallbladder injury; MSCT and autopsy revealed bleeding from an avulsion injury of the entire gallbladder without any other associated intra-abdominal injuries. In such cases, since the exact relationship between the gallbladder and the gallbladder fossa can be difficult to appreciate on axial CT images alone, reconstructed coronal and sagittal images can be very useful (2), especially in assisting the planning for a forensic autopsy to establish the cause of death. Recently, it was reported that new acquisition techniques such as dual-energy CT could provide additional information (3).…”

“…Shearing forces are major contributors to avulsion injuries of the gallbladder (1). Considering the difference in mass between the gallbladder and liver, it would seem reasonable to postulate that exposure to acceleration and deceleration forces could result in shearing forces between these two organs (2). A fully distended gallbladder, as seen in our case, has increased mass compared to a small, contracted gallbladder.…”