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Case Reports
. 2013 Jan;5(1):45-7.
doi: 10.4103/2006-8808.118629.

Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma

Rohan Kumar  1
Affiliations
Case Reports

Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma

Rohan Kumar. J Surg Tech Case Rep. 2013 Jan.

Abstract

Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via laparotomy rather than laparoscopically. Conservative management, in the form of cholecystostomy, percutaneous intraperitoneal drainage or cholecystorraphy has been described; however, these cases have invariably resulted in cholecystectomy eventually. The case uniquely highlights the successful non-operative management of isolated traumatic gallbladder perforation.

Keywords: Cholecystectomy; cholecystorraphy; damage control surgery; endoscopic management.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Computed tomography showing gallbladder fundus perforation (red arrow) and free intraperitoneal fluid (blue arrow)
Figure 2
Figure 2
Endoscopic retrograde cholangio-pancreatogram showing common bile duct (green arrow), cystic duct (blue arrow) and extravasation of contrast from perforated gallbladder (red arrow)
See this image and copyright information in PMC

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