Isolated gallbladder perforation following blunt abdominal trauma
S Cheddie1, C G Manneh1, N M Naidoo1
1Madadeni Hospital and Department of General Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 7, 2017
Summary
Blunt abdominal trauma can cause rare gallbladder perforations. Prompt diagnosis via imaging and surgical removal (cholecystectomy) are crucial for successful treatment of this gallbladder injury.
Area of Science:
- Trauma Surgery
- Gastrointestinal Surgery
- Abdominal Imaging
Background:
- Isolated gallbladder perforation from blunt abdominal trauma is an uncommon injury.
- Diagnosis can be challenging due to non-specific findings on initial imaging.
Purpose of the Study:
- To report a case of isolated gallbladder perforation secondary to blunt abdominal trauma.
- To highlight the diagnostic and management considerations for this rare injury.
Main Methods:
- Case report of a 32-year-old male with blunt abdominal trauma.
- Preoperative diagnosis utilizing ultrasound.
- Surgical exploration (laparotomy) and subsequent cholecystectomy.
Main Results:
- Ultrasound revealed a pericholecystic fluid collection.
- Laparotomy identified an isolated gallbladder perforation at the infundibulum with localized bile collection.
- Cholecystectomy was performed for definitive treatment.
Conclusions:
- A high index of suspicion is necessary for diagnosing isolated gallbladder injuries after blunt abdominal trauma.
- Ultrasound can aid in preoperative diagnosis.
- Cholecystectomy remains the treatment of choice for gallbladder perforation.
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