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[Two-time traumatic rupture of the gallbladder]

G Alderi, A Monguzzi, M Ricci

    Minerva Chirurgica
    |February 29, 1980
    PubMed
    Summary

    Traumatic gallbladder perforation, from both open and closed abdominal injuries, can present with a prolonged, symptom-free period. This highlights diagnostic challenges in abdominal trauma cases.

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    Area of Science:

    • Gastroenterology
    • Trauma Surgery
    • Abdominal Imaging

    Background:

    • Traumatic gallbladder perforation is a rare but serious injury.
    • It can result from both blunt and penetrating abdominal trauma.
    • Delayed diagnosis can lead to severe complications.

    Observation:

    • Two cases of traumatic gallbladder perforation are presented.
    • One resulted from open abdominal injury, the other from closed injury.
    • Both cases shared a significant, oligosymptomatic (few symptoms) free interval post-injury.

    Findings:

    • The primary finding is the prolonged asymptomatic period preceding perforation.
    • This underscores the potential for delayed presentation in gallbladder trauma.
    • Aetiopathogenetic, clinical, and therapeutic challenges are discussed.

    Implications:

    • Clinicians should maintain a high index of suspicion for gallbladder injury in abdominal trauma, even with minimal initial symptoms.
    • The findings emphasize the need for thorough diagnostic evaluation in suspected cases.
    • Improved diagnostic and management strategies are crucial for better patient outcomes.

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