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[Bilateral gallbladder rupture after blunt abdominal trauma].

G Hannesschläger1, G Schwarzl, R Reschauer

  • 1Zentralröntgeninstitut, Allgemeinen Krankenhauses Linz.

Deutsche Medizinische Wochenschrift (1946)
|December 1, 1989
PubMed
Summary

A motorcycle accident caused blunt abdominal trauma, leading to a gallbladder hematoma and subsequent rupture in a 65-year-old man. Prompt surgical intervention (cholecystectomy) resulted in an uncomplicated recovery.

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Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery
  • Abdominal Trauma

Background:

  • Blunt abdominal trauma can cause significant intra-abdominal injuries.
  • Gallbladder injuries are rare but can be life-threatening.
  • Alcohol intoxication may impair injury recognition and management.

Observation:

  • A 65-year-old male motorcyclist sustained blunt abdominal trauma.
  • Computed tomography revealed an intramural gallbladder hematoma.
  • Initial peritoneal lavage was negative for hemoperitoneum.

Findings:

  • The patient developed gallbladder rupture approximately five hours after the initial trauma.
  • Laparotomy confirmed gallbladder rupture.
  • Cholecystectomy was performed for definitive treatment.

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Implications:

  • Intramural gallbladder hematoma is a potential precursor to gallbladder rupture following blunt trauma.
  • Timely surgical management is crucial for patients with traumatic gallbladder injuries.
  • This case highlights the importance of vigilant monitoring after blunt abdominal trauma, even with initially negative findings.