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Isolated and stable gallbladder perforation in a 5 year old child after blunt abdominal trauma

I Issa1,2, V Modica Alameddine1,2, M C Fadous Khalife1,2

  • 1Department of Pediatrics & Pediatric Surgery, UH Notre Dame De Secours, Jbeil, Lebanon.

Trauma Case Reports
|April 13, 2018
PubMed

Insights

Isolated gallbladder injury in children is rare and challenging to diagnose. This case explores a conservative management approach for blunt abdominal trauma in a pediatric patient, offering new insights.

Area of Science:

  • Pediatric Surgery
  • Abdominal Trauma
  • Gallbladder Diseases

Background:

  • Blunt abdominal trauma rarely causes isolated gallbladder injury in children.
  • Diagnosis is challenging due to vague symptoms and unclear trauma mechanisms.
  • Conservative management for gallbladder injury is established in adults but controversial in pediatric cases.

Observation:

  • A 5-year-old boy sustained an isolated gallbladder lesion from blunt abdominal trauma.
  • Delayed surgical intervention allowed for a trial of conservative management.
  • The patient's presentation and response to non-operative treatment were monitored.

Findings:

  • Conservative management was attempted for the isolated gallbladder injury.
  • The case provides data on the feasibility and outcomes of non-operative treatment in pediatric gallbladder trauma.
  • This approach was feasible due to a delay in surgical treatment for non-medical reasons.

Implications:

  • This case suggests conservative management may be a viable option for select pediatric patients with isolated gallbladder injuries.
  • Further research is needed to establish evidence-based guidelines for non-operative treatment in children.
  • Understanding the outcomes of conservative management can inform clinical decision-making in pediatric trauma care.

Keywords:
Blunt traumaConservative approachGallbladder injuryIsolated

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