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

Tudyka, Vera; Toebosch, Susan; Zuidema, Wietse
October 2007
European Journal of Trauma & Emergency Surgery;Oct2007, Vol. 33 Issue 5, p545
Academic Journal
We describe a case of isolated gallbladder contusion after deceleration trauma. On admission, no evident signs of intra-abdominal injury were present. However, after 24 h observation an explorative laparotomy was performed because of persistent abdominal complaints. A contusion of the gallbladder wall was found with intraluminal haematoma and a cholecystectomy was performed. Isolated injury of the gallbladder after blunt trauma is extremely rare. Risk factors are distention of the gallbladder, deceleration trauma and the presence of a relatively mobile gallbladder. Clinical signs often are very subtle. Delayed presentation is common with signs of hemobilia or obstruction due to intraluminal clots. Ultrasound and computed tomography are suitable diagnostic tools. However, the diagnosis is often missed if no other injuries are present. Signs pointing to gallbladder injury are a collapsed gallbladder with pericholecystic fluid or a hydroptic gallbladder with intraluminal hematoma. Hepatobiliary scintigraphy or angiography might be necessary if additional injuries are suspected. The choice of treatment depends on the kind of injury. Contusion of the gallbladder allows conservative treatment, but in case of a rupture, surgery will be necessary. Accompanying bile duct injuries can be treated by endoscopic stenting. If active arterial bleeding is present, selective embolization can be performed.


Related Articles

  • Spontaneous gallbladder perforation in a neonate. Gull, Sobbia; Singh, Michael; Bruce, James // Pediatric Surgery International;Aug2005, Vol. 21 Issue 8, p657 

    We describe the case of a 700-g neonate who presented with abdominal discolouration, distension, and rapid clinical deterioration. At laparotomy, a perforation in the neck of the gallbladder was found, which was simply over-seen. Perforation of the gallbladder should be considered in the...

  • The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Ahmed, Kamran; Wang, Tim T.; Patel, Vanash M.; Nagpal, Kamal; Clark, James; Ali, Mariam; Deeba, Samer; Ashrafian, Hutan; Darzi, Ara; Athanasiou, Thanos; Paraskeva, Paraskevas // Surgical Endoscopy;Feb2011, Vol. 25 Issue 2, p378 

    Objective: This review aimed to determine the role of single-incision laparoscopic surgery (SILS) in abdominal and pelvic operations. Data sources: The Medline, EMBASE, and PsycINFO databases were systematically searched until October 2009 using 'single-incision laparoscopic surgery' and related...

  • Idiopathic Retroperitoneal Hematoma. Monib, Sherif; Ritchie, Andrew; Thabet, Ezzuldin // Journal of Surgical Technique & Case Report;Jan-Jun2011, Vol. 3 Issue 1, p49 

    Idiopathic retroperitoneal hematoma is a rare, but potentially life threatening cause of an acute surgical abdomen. Initially diagnosis may be overlooked, leading to unnecessary exploration, which may have implications for prognosis of the patient. An enhanced Computer Tomography (CT) scan of...

  • Isolated rupture of the gallbladder following blunt abdominal trauma: case report. Epstein, Marina Gabrielle; Lopes da Silva, Dorivaldo; Elias, Naim Carlos; Augusto Sica, Gustavo Tricta; de Lima F├ívaro, Murillo; Fontenelle Ribeiro Junior, Marcelo Augusto // Einstein (16794508);Apr-Jun2013, Vol. 11 Issue 2, p227 

    Gallbladder rupture following blunt abdominal trauma is a rare event recognized on evaluation and treatment of other visceral injuries during laparotomy. Isolated gallbladder rupture secondary to blunt abdominal trauma is even more uncommon. The clinical presentation of gallbladder injury is...

  • Risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy. Simopoulos, C.; Botaitis, S.; Polychronidis, A.; Tripsianis, G.; Karayiannakis, A. J. // Surgical Endoscopy;Jul2005, Vol. 19 Issue 7, p905 

    Background: Conversion to open cholecystectomy is still required in some patients. The aim of this study was to evaluate preoperative factors associated with conversion to open cholecystectomy in elective cholecystectomy and acute cholecystitis.Methods: The records of...

  • Efficacy and safety of B-mode ultrasoundguided percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy for acute cholecystitis in elderly and high-risk patients. Yi-Ren Hu; Jiang-Hua Pan; Xiao-Chun Tong; Ke-Qin Li; Sen-Rui Chen; Yi Huang // BMC Gastroenterology;Jul2015, Vol. 15 Issue 1, p1 

    Background: Standards in treatment of acute cholecystitis (AC) in the elderly and high-risk patients has not been established. Our study evaluated the efficacy and safety of B-mode ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD) in combination with laparoscopic...

  • A Novel Procedure for Single-Incision Laparoscopic Cholecystectomy-The Teres Hanging Technique Combined with Fundus-First, Dome-Down Separation. Yamamoto, Michihiro; Zaima, Masazumi; Kida, Yuya; Yamamoto, Hidekazu; Harada, Hideki; Kawamura, Junichiro; Yamada, Masahiro; Yazawa, Tekefumi // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2016, Vol. 26 Issue 12, p1003 

    Background: Generally, single-incision laparoscopic cholecystectomy (SILC) requires the use of articulating devices or additional trocars because of the technical difficulties caused by the lack of ergonomics. We developed a novel procedure comprising mainly two simple ideas, "the...

  • Acute cholecystitis presenting with massive intra-abdominal haemorrhage. Aljiffry, Murad M.; Almulhim, Amna N.; Jamal, Mohammad H.; Hassanain, Mazen M. // Journal of Surgical Case Reports;2014, Vol. 2014 Issue 4, p1 

    Haemorrhagic cholecystitis is a known rare life-threatening complication of acute cholecystitis. In this case report, we describe clinical presentation and radiological findings of acute cholecystitis presenting with massive intra-abdominal haemorrhage. We present a case of a 57-yearold male...

  • Nonoperative Progressive 'Bogota Bag' Closure after Abdominal Decompression. Myers, Jonathan A.; Latenser, Barbara A. // American Surgeon;Nov2002, Vol. 68 Issue 11, p1029 

    "Bogota bags" are often used for temporary abdominal closure after damage control or staged laparotomy for trauma or release of abdominal compartment syndrome. After placement of the Bogota bag serial operative closures are required to return abdominal contents to their original location before...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics