Isolated traumatic gallbladder rupture.
Blunt traumatic injury to the extrahepatic biliary system is a rare event usually recognized on evaluation and treatment of other visceral injuries during laparotomy. Isolated gallbladder rupture secondary to blunt abdominal trauma is even more uncommon, but poses a potential life-threatening surgical emergency. Delay in the diagnosis of the injury for several days due to no or vague symptoms and an insidious course are common. Early diagnosis is essential, as protracted treatment may result in significant morbidity and mortality. We report the case of a patient who suffered an isolated gallbladder rupture due to blunt abdominal trauma from a fall. The subject of isolated traumatic gallbladder rupture is reviewed because of the rarity of this condition and the diagnostic challenges it poses.
De Raet
J
J
Department of Surgery, Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium. janderaet@hotmail.com
Lamote
J
J
Delvaux
G
G
D015746:Abdominal Pain / Q000209:etiology; D000058:Accidental Falls; D000328:Adult; D002763:Cholecystectomy; D005704:Gallbladder / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009325:Nausea / Q000209:etiology; D012421:Rupture / Q000209:etiology / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*