Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma.
Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via laparotomy rather than laparoscopically. Conservative management, in the form of cholecystostomy, percutaneous intraperitoneal drainage or cholecystorraphy has been described; however, these cases have invariably resulted in cholecystectomy eventually. The case uniquely highlights the successful non-operative management of isolated traumatic gallbladder perforation.
Department of General Surgery, East Kent University NHS Foundation Trust, Ashford, Kent, TN24 0LZ, United Kingdom.
Rohan
R
Kumar
Cholecystectomy; cholecystorraphy; damage control surgery; endoscopic management