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Pediatric traumatic gallbladder rupture

W Landon Jackson1, Patrick C Bonasso2, R Todd Maxson1

  • 1Arkansas Children's Hospital, Little Rock, AR, USA.

Journal of Surgical Case Reports
|December 3, 2016
PubMed

Insights

Gallbladder rupture from blunt abdominal trauma is rare in children. This case highlights a successful cholecystectomy for an 11-year-old male after an all-terrain vehicle accident, emphasizing prompt diagnosis and surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Abdominal Imaging

Background:

  • Blunt abdominal trauma in children can lead to intra-abdominal injuries.
  • Gallbladder rupture is an exceptionally rare consequence of pediatric blunt abdominal trauma.
  • Anatomical factors and delayed presentation complicate diagnosis.

Observation:

  • An 11-year-old male sustained blunt abdominal trauma from an all-terrain vehicle accident.
  • Computed tomography (CT) suggested possible gallbladder injury.
  • The patient presented with delayed symptoms.

Findings:

  • The patient was diagnosed with a ruptured gallbladder.
  • Surgical management involved a cholecystectomy.
  • The outcome was successful.

Implications:

  • This case underscores the importance of considering rare injuries like gallbladder rupture in pediatric blunt abdominal trauma.
  • Advanced imaging like CT plays a crucial role in diagnosis.
  • Prompt surgical intervention, such as cholecystectomy, leads to favorable outcomes in these rare cases.

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