Rare Coincidence of Gallbladder Perforation in Blunt Traumatic Injury: A Case Report
https://doi.org/10.47836/mjmhs.19.6.49
- Author:
Zi Ching Sharon Chong
1
;
Da Jun Than
1
;
Mohamed Arif Hameed Sultan
2
;
Dayang Corieza Febriany
3
;
Firdaus Hayati
2
Author Information
1. Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
2. Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
3. Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
- Publication Type:Case Reports
- Keywords:
Blunt trauma, Gallbladder perforation, Isolated
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.6):368-370
- CountryMalaysia
- Language:English
-
Abstract:
Traumatic gallbladder perforation is an unusual but potentially life-threatening injury that can occur following blunt
or penetrating abdominal trauma. A 46-year-old male presented to the emergency department following a motor vehicle accident (MVA). He complained of severe abdominal pain and sustained ecchymosis with localized tenderness
over the right upper quadrant. Despite a positive focused assessment with sonography in trauma scan, initial computed tomography of the abdomen revealed grade 1 liver and splenic injury but was unable to identify gallbladder
perforation. He was initially managed conservatively until he developed secondary signs of sepsis after 24 hours.
An exploratory laparotomy revealed a perforated gallbladder. A subtotal cholecystectomy was done. A retrospective
review revealed a missed gallbladder perforation from an earlier CT scan assessment. We report a case of missed
gallbladder perforation following MVA which was only diagnosed intraoperatively after failing non-operative management, following which the patient underwent laparotomy and subtotal cholecystectomy.
- Full text:11.2023my1703.pdf
