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Traumatic Gallbladder Perforation in Children - Case Report and Review
Melanie Thanh Phuong Le1, Jochen Herrmann2, Michael Groth2
1Department of Paediatric Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|February 3, 2021
Summary
Gallbladder perforation is rare in children and often missed. High suspicion is crucial after blunt abdominal trauma, especially from handlebars, with repeated imaging aiding diagnosis.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Gallbladder perforation is a rare but serious condition in children, often presenting with vague symptoms.
- Diagnosis is challenging due to non-specific clinical and radiographic findings, potentially leading to fatal outcomes.
Observation:
- A case of gallbladder perforation in an 8-year-old following blunt abdominal trauma from a handlebar is presented.
- Ultrasound and MRI were instrumental in guiding management.
- A literature review identified only eight pediatric cases of isolated traumatic gallbladder injury between 2000-2020.
Findings:
- Gallbladder injuries in children are infrequently documented compared to adults.
- Delayed or indistinct symptom onset necessitates a high index of suspicion.
- Radiographic findings like gallbladder wall discontinuity or intraluminal echogenic fluid are critical diagnostic clues.
Implications:
- Clinicians should maintain a high suspicion for gallbladder perforation in pediatric blunt abdominal trauma, particularly handlebar injuries.
- Repeated clinical and imaging evaluations are essential for timely diagnosis and management.
- Prompt diagnosis and management of traumatic gallbladder injury can prevent severe complications.
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