Volume 7 Supplement 1
Isolated gallbladder hematoma after a blunt abdominal trauma: case report
© Wang et al; licensee Springer. 2015
Published: 9 March 2015
Sonography has played an important role on detection of intraabdominal injuries with a sensitivity of 86%, a specificity of 98%, and an accuracy of 97% . Negative predictive value achieved about 98% . However, gallbladder injury is rare with incidence around 2.1% [2, 3] in blunt abdominal trauma , and commonly associated with the solid organ injury or abdominal vascular injury . Isolated gallbladder injury were very few including traumatic cholecystitis, gallbladder tear, and gallbladder perforation ...etc. Ultrasound is very sensitive to gallbladder disease. We presented a rare case of isolated gallbladder hematoma after a blunt abdominal trauma which diagnosis by Focused Gallbladder ultrasound.
Cases of gallbladder injury happen mostly in penetrating abdominal trauma and rarely in blunt trauma [2, 5]. According to Chad's study, only 2% of gallbladder injuries were isolated, while in associated injuries, approximate 49% of them were severely injured with unstable hemodynamic status . All of the gallbladder injuries received invasive treatment with 93% cholecystectomy and 7% percutaneous drainage . Currently, gallbladder injuries include contusion, laceration, and avulsion. Among these injuries, only contusion type is not communicated to intraabdominal space. Gallbladder contusion was commonly defined as intramural hematoma. However, in our case, the diffuse high-echogenicity in the whole gallbladder demonstrated the possibly rended of muscularis layer of gallbladder; therefore, minor tear of gallbladder should also be concerned. Under such injury force, no presentation of bruise, laceration or abrasion wound is the pitfall on this case. The missing diagnosis should be aware, and surgical exploration should be intervened.
The study was conducted in accordance with the ethical standards dictated by applicable law. Informed consent was obtained from each owner to enrolment in the study and to the inclusion in this article of information that could potentially lead to their identification.
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.