Isolated Gallbladder Injury after Blunt Abdominal Trauma: a Case Report and Review

Tudyka, Vera; Toebosch, Susan; Zuidema, Wietse P.

doi:10.1007/s00068-008-8902-2

Cited by 2 publications

(5 citation statements)

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“…Discontinuous wall or collapsed gallbladder with pericholecystic and peritoneal fluid usually presents with gallbladder perforation [ 8 , 11 , 12 , 16 , 17 ]. Intramural dissection of the gallbladder wall with subsequent intramural and intraluminal hematoma may progress from a distended gallbladder contusion [4] , as in our patient. Non-visualization of the gallbladder may reveal a completely avulsed gallbladder [10] .…”

Section: Discussionsupporting

confidence: 58%

“…The gallbladder is placed on a stiff, cirrhotic liver, which appears to be a risk factor [ 8 , 12 , 13 ]. Trauma mechanism is by the acute deceleration of a relatively mobile gallbladder due to falling from a great height [4] .…”

Section: Discussionmentioning

confidence: 99%

“…Non-visualization of the gallbladder on US should raise the suspicion of a traumatic gallbladder avulsion [10] . However, there are also cases in which there are no abnormal gallbladder findings [ 4 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…It seems to be effective in cases of gallbladder contusion with minor tears of the muscularis layer of the gallbladder, causing hematoma within the gallbladder. However, most cases of contusion will undergo cholecystectomy due to the risk of perforation from the intramural hematoma progressing to necrosis in an obstructed hydropic gallbladder due to blood clots [4] . Conservative treatment of gallbladder injuries may be a choice in high-risk candidates for surgery, such as in those on therapeutic heparin for a ventricular thrombus induced by atrial fibrillation [26] and end-stage alcoholic cirrhosis with liver and respiratory failure [12] .…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic imaging in a patient with an isolated blunt traumatic gallbladder injury

Pham

Nguyen²,

Huynh

2021

Radiology Case Reports

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Isolated gallbladder injuries are very uncommon in blunt abdominal trauma due to its small size. Further, they are well protected by the surrounding liver, omentum, and the rib cage. A case of traumatic gallbladder injury in a 47-year-old man with progressive right hypochondrial pain is presented. The gallbladder injury was caused due to a blunt abdominal trauma after a motor vehicle accident. The patient had a history of chronic alcoholism and narcotics abuse. The patient was also human immunodeficiency virus-positive and was on stable treatment for tuberculosis. A diagnosis of gallbladder contusion with intramural dissection was made after an ultrasound and computed tomography scan. However, the patient refused surgery and thus, an ultrasound-guided percutaneous transhepatic drainage of the gallbladder was performed as a temporary treatment. Subsequently, a successful cholecystectomy was performed. Isolated traumatic gallbladder injury has been reviewed due to the rarity of this condition and the diagnostic challenges it poses.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic imaging in a patient with an isolated blunt traumatic gallbladder injury

Pham

Nguyen²,

Huynh

2021

Radiology Case Reports

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show abstract

“…However, in this case, the injured part of the patient was not in the right upper abdomen. Abdominal X-ray, CT, and ultrasound did not show gallbladder rupture, which has rarely been reported[ 9 , 10 ]. Therefore, in diagnosing and treating these diseases, we did not consider the possibility of GI.…”

Section: Discussionmentioning

confidence: 96%

Isolated traumatic gallbladder injury: A case report

Liu,

Pan,

Huang

et al. 2023

World J Gastrointest Surg

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BACKGROUND Isolated gallbladder injury (GI) (IGI) directly induced by abdominal trauma is rare. Symptoms, indications, and imaging examinations of IGI are frequently non-specific, posing tremendous diagnostic challenges, which are simple to overlook and may have severe implications. Improving doctors' understanding of gallbladder injury (GI) facilitates early detection and decreases the likelihood of severe consequences, including death. CASE SUMMARY We report a case of IGI caused by blunt violence (after falling from three meters with the umbilicus as the stress point) and performed laparoscopic repair of the gallbladder rupture, which helps clinicians understand IGI and reduce the severe consequences of delayed diagnosis. Through extensive medical history and dynamic abdominal ultrasound evaluation, doctors can identify GI early and begin surgery, thereby decreasing the devastating repercussions of delayed diagnosis. CONCLUSION This article aims to improve clinicians' understanding of IGI and propose a method for the diagnosis and treatment of GI.

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Isolated Gallbladder Injury after Blunt Abdominal Trauma: a Case Report and Review

Cited by 2 publications

References 0 publications

Diagnostic imaging in a patient with an isolated blunt traumatic gallbladder injury

Diagnostic imaging in a patient with an isolated blunt traumatic gallbladder injury

Isolated traumatic gallbladder injury: A case report

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