Gallbladder injury after blunt abdominal trauma: Imaging clues for diagnosis
Keywords:
Blunt abdominal trauma, Gallbladder rupture, Imaging cluesAbstract
Traumatic gallbladder injuries are rare and difficult to diagnose. Even if imaging methods including ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI) are used, it is highly challenging to detect a defect in the gallbladder wall. In a patient with blunt abdominal trauma, these clues should raise suspicion of gallbladder rupture: Hepatic laceration extending to the gallbladder area, increased abdominal distention and abdominal pain in physical examination, unfilled gallbladder and intra-abdominal increased fluid in imaging. Free fluid sampling should be performed in such patients. We herein presented the diagnostic processes of a 33-year-old woman who underwent laparotomy due to gallbladder rupture with hepatic laceration after a traffic accident.
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