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Traumatic Gallbladder Rupture Treated by Laparoscopic Cholecystectomy.

Noriyuki Egawa¹, Junji Ueda¹, Masatsugu Hiraki¹

¹Departments of Surgery, Faculty of Medicine, Saga University, Saga, Japan.

Case Reports in Gastroenterology

|July 28, 2016

Summary

Gallbladder rupture from blunt abdominal trauma is rare and hard to diagnose. Endoscopic retrograde cholangiopancreatography (ERCP) aided in diagnosing this gallbladder injury, enabling successful laparoscopic surgery.

Keywords:

Gallbladder rupture Laparoscopic cholecystectomy Trauma

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Area of Science:

Trauma Surgery
Gastroenterology
Diagnostic Imaging

Background:

Gallbladder rupture from blunt abdominal injury is an uncommon event.
Traumatic gallbladder injuries often occur with other visceral damage, complicating diagnosis.

Observation:

A 43-year-old male presented with increasing abdominal pain, ascites, and guarding after blunt abdominal trauma.
Ascitic fluid analysis revealed bloody fluid with high bile content.

Findings:

Endoscopic retrograde cholangiopancreatography (ERCP) successfully diagnosed gallbladder rupture.
Laparoscopic cholecystectomy was performed safely and effectively.
ERCP proved valuable in both diagnosing the gallbladder injury and guiding therapeutic strategy.

Implications:

Accurate preoperative diagnosis of traumatic gallbladder rupture is crucial for appropriate surgical planning.
ERCP is a valuable tool for diagnosing gallbladder injuries when bile is present in ascites.
Prompt diagnosis and surgical intervention lead to favorable patient outcomes.