DOI: https://dx.doi.org/10.18203/2349-2902.isj20220659
Published: 2022-02-28

Unusual presentation following blunt trauma abdomen: isolated gallbladder perforation

Theakarajan Rajendran, Ranjith Kothagattu, Shikar Verma, Balasubramanian Gopal

Abstract


The gallbladder is a well-protected organ. Hence, injury to the gallbladder following blunt trauma is infrequent. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. Isolated gallbladder perforation is a diagnosis of exclusion. Ultrasonography and contrast-enhanced CT are valuable assets in diagnosis. Cholecystectomy remains the procedure of choice. Mortality and morbidity is high in late presentations with biliary and bacterial peritonitis. It is thus necessary that the clinician be aware of this entity to have a high index of suspicion and to treat early.  


Keywords


Gallbladder, Perforation, Trauma

Full Text:

PDF

References


Soderstrom CA, Maekawa K, DuPriest RW, Cowley RA. Gallbladder injuries resulting from blunt abdominal trauma: an experience and review. Ann Surg. 1981;193(1):60-6.

Schachter P, Czerniak A, Shemesh E, Avigad I, Lotan G, Wolfstein I. Isolated gallbladder rupture due to blunt abdominal trauma. HPB Surg. 1989;1(4):359-62.

Gali BM, Ali N, Bakari AA, Suleiman IE. Isolated gallbladder rupture following blunt abdominal trauma. Nigerian Journal of Clinical Practice. 2013;16(3):398.

Penn I. Injuries of the gall-bladder. Br J Surg. 1962;49:636-41.

Chen X, Talner LB, Jurkovich GJ. Gallbladder avulsion due to blunt trauma. AJR Am J Roentgenol. 2001;177(4):822.

Sharma O. Blunt gallbladder injuries: presentation of twenty-two cases with review of the literature. J Trauma. 1995;39(3):576-80.

Laffey DA, Hay DJ. Isolated perforation of the gall bladder following blunt abdominal trauma. Postgrad Med J. 1979;55(641):212-4.

Bainbridge J, Shaaban H, Kenefick N, Armstrong CP. Delayed presentation of an isolated gallbladder rupture following blunt abdominal trauma: a case report. J Med Case Reports. 2007;1:52.

Kohler R, Millin R, Bonner B, Louw A. Laparoscopic treatment of an isolated gallbladder rupture following blunt abdominal trauma in a schoolboy rugby player. Br J Sports Med. 2002;36(5):378-9.