title: Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy.
abstract: Gallbladder rupture due to blunt abdominal injury is rare. There are few reports of traumatic gallbladder injury, and it is commonly associated with other concomitant visceral injuries. Therefore, it is difficult to diagnose traumatic gallbladder rupture preoperatively when it is caused by blunt abdominal injury. We report a patient who underwent laparoscopic cholecystectomy after an exact preoperative diagnosis of traumatic gallbladder rupture. A 43-year-old man was admitted to our hospital due to blunt abdominal trauma. The day after admission, abdominal pain and ascites increased and a muscular defense sign appeared. Percutaneous drainage of the ascites was performed, and the aspirated fluid was bloody and almost pure bile. He was diagnosed with gallbladder rupture by the cholangiography using the endoscopic retrograde cholangiopancreatography technique. Laparoscopic cholecystectomy was performed safely, and he promptly recovered. If accumulated fluids contain bile, endoscopic cholangiography is useful not only to diagnose gallbladder injury but also to determine the therapeutic strategy.
authors.affiliation: Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Egawa
authors.affiliation: Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Junji
authors.initials: J
authors.lastname: Ueda
authors.affiliation: Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Hiraki
authors.affiliation: Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Ide
authors.affiliation: Departments of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Inoue
authors.affiliation: Departments of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Sakamoto
authors.affiliation: Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Noshiro
keywords: Gallbladder rupture; Laparoscopic cholecystectomy; Trauma