A rare case of isolated gallbladder rupture following blunt abdominal trauma

A rare case of isolated gallbladder rupture following blunt abdominal trauma

Authors

Keywords:

gallbladder rupture, trauma, CT, cholecystectomy, abdominal imaging

Abstract

Isolated gallbladder rupture are rare injuries. We present a case of gallbladder traumatic rupture in a 47-year-old patient involved in a motor vehicle collision, that presented abdominal pain with maximal intensity in the right upper quadrant.CT is the imaging technique of choice to diagnosis this entity, however the final diagnosis of gallbladder rupture is confirmed with laparoscopy. Cholecystectomy is the definitive treatment.

References

Salzman S, Lutfi R, Fishman D, Doherty J, Merlotti G. Traumatic rupture of the gallbladder. J Trauma. 2006;61(2):454-456. doi:10.1097/01.ta.0000231456.20389.5e

Egawa N, Ueda J, Hiraki M, et al. Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy. Case Rep Gastroenterol. 2016;10(2):212-217. Published 2016 May 24. doi:10.1159/000437046

Sharma O. Blunt gallbladder injuries: presentation of twenty-two cases with review of the literature. J Trauma. 1995;39(3):576-580. doi:10.1097/00005373-199509000-00029

Soderstrom CA, Maekawa K, DuPriest RW Jr, Cowley RA. Gallbladder injuries resulting from blunt abdominal trauma: an experience and review. Ann Surg. 1981;193(1):60-66. doi:10.1097/00000658-198101000-00010

De Raet J, Lamote J, Delvaux G. Isolated traumatic gallbladder rupture. Acta Chir Belg. 2010;110(3):370-375. doi:10.1080/00015458.2010.11680638

Kwan BYM, Plantinga P, Ross I. Isolated traumatic rupture of the gallbladder. Radiol Case Rep. 2015;10(1):1029. Published 2015 Dec 3. doi:10.2484/rcr.v10i1.1029

Ball CG, Dixon E, Kirkpatrick AW, Sutherland FR, Laupland KB, Feliciano DV. A decade of experience with injuries to the gallbladder. J Trauma Manag Outcomes. 2010;4:3. Published 2010 Apr 15. doi:10.1186/1752-2897-4-3

Pavlidis TE, Lalountas MA, Psarras K, et al. Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature. J Med Case Rep. 2011;5:392. Published 2011 Aug 18. doi:10.1186/1752-1947-5-392

Wiener I, Watson LC, Wolma FJ. Perforation of the gallbladder due to blunt abdominal trauma. Arch Surg. 1982;117(6):805-807. doi:10.1001/archsurg.1982.01380300047011

Gottesman L, Marks RA, Khoury PT, Moallem AG, Wichern WA Jr. Diagnosis of isolated perforation of the gallbladder following blunt trauma using sonography and CT scan. J Trauma. 1984;24(3):280-281. doi:10.1097/00005373-198403000-00019

Kambayashi M, Yong W, Watanabe K, Alam S. Hemobilia due to gallbladder contusion following blunt trauma--sonography and CT scanning for early detection: case report. J Trauma. 1993;34(3):440-442. doi:10.1097/00005373-199303000-00023

Baumgartner FJ, Barnett MJ, Velez M, Chiu LC. Traumatic disruption of the gallbladder evaluated by computerized tomography and magnetic resonance imaging. Br J Surg. 1988;75(4):386-387. doi:10.1002/bjs.1800750432

Erb RE, Mirvis SE, Shanmuganathan K. Gallbladder injury secondary to blunt trauma: CT findings. J Comput Assist Tomogr. 1994;18(5):778-784.

Jaggard MK, Johal NS, Choudhry M. Blunt abdominal trauma resulting in gallbladder injury: a review with emphasis on pediatrics. J Trauma. 2011;70(4):1005-1010. doi:10.1097/TA.0b013e3181fcfa17

Wittenberg A, Minotti AJ. CT diagnosis of traumatic gallbladder injury. AJR Am J Roentgenol. 2005;185(6):1573-1574. doi:10.2214/AJR.04.1637

Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA. Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics. 2004;24(5):1381-1395. doi:10.1148/rg.245045002

Kauzlaric D, Barmeir E. Sonography of intraluminal gallbladder hematoma. J Clin Ultrasound. 1985;13(4):291-294. doi:10.1002/jcu.1870130412

Zissin R, Osadchy A, Shapiro-Feinberg M, Gayer G. CT of a thickened-wall gall bladder. Br J Radiol. 2003;76(902):137-143. doi:10.1259/bjr/63382740

Benedict MD, Rafal R. Finding of CT and MR evaluation of gallbladder hemobilia. Emerg Radiol. 2003;10(1):46-48. doi:10.1007/s10140-002-0259-y

Clancy TE, Warren RL. Endoscopic treatment of biliary colic resulting from hemobilia after nonoperative management of blunt hepatic injury: case report and review of the literature. J Trauma. 1997;43(3):527-529. doi:10.1097/00005373-199709000-00025

Downloads

Published

18-07-2023

Issue

Section

Case Reports: General Surgery and Miscellanea

How to Cite

1.
Testini V, Tupputi U, Rutigliano C, et al. A rare case of isolated gallbladder rupture following blunt abdominal trauma. Acta Biomed. 2023;94(S1):e2023207. doi:10.23750/abm.v94iS1.14123