title: Ruptured Gall Bladder containing Stones following Blunt Trauma Abdomen: A Rare Presentation of Hemodynamic Instability.
abstract: Gall bladder injuries are seen in 2% of patients undergoing laparotomy for blunt trauma abdomen. Isolated gall bladder injury is a rare event with associated presence of stones is even rarer. The associated visceral injuries lead to intraoperative identification in most cases. Here we present a case of 30 years old male with isolated gall bladder laceration following blunt abdominal trauma. The diagnosis of gallbladder perforation after blunt injury may be suspected in patients with signs of an acute abdomen and hypotension that is not explained by blood loss. Early suspicion and prompt exploration is imperative. Cholecystectomy is an adequate treatment for the condition.
authors.affiliation: Department of Surgery, Hindu Rao Hospital, Ashok Vihar, Delhi, India.
authors.forename: V
authors.initials: V
authors.lastname: Goel
authors.affiliation: Department of Surgery, Hindu Rao Hospital, Ashok Vihar, Delhi, India.
authors.forename: N
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Surgery, Hindu Rao Hospital, Ashok Vihar, Delhi, India.
authors.forename: N
authors.initials: N
authors.lastname: Soni
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000209:etiology; D000063:Accidents, Traffic; D000328:Adult; D002763:Cholecystectomy / Q000379:methods; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D004630:Emergencies; D005704:Gallbladder / Q000293:injuries*; D006801:Humans; D008297:Male; D012421:Rupture; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000209:etiology
keywords: acute abdomen; cholecystectomy; hypotension; laparotomy.