Traumatic rupture of the gallbladder

Case contributed by Dr Chris O'Donnell

Presentation

Punched in the abdomen. Now has severe right upper quadrant pain with generalized peritonitis

Patient Data

Age: 25
Gender: Male
Modality: CT

Large volume free fluid throughout the peritoneal cavity with a HU density of 4-6.  Contracted gall bladder with a defect in its wall (arrow) surrounded by this fluid including in the gall bladder fossa together with minor contusion to the adjacent liver (arrow).

Case Discussion

The gallbladder is relatively protected from injury, but can be injured (ruptured) with direct anterior abdominal wall impact as in this case with a punch. There is usually associated liver injury as in this case. Confirmation of the diagnosis requires paracentesis with the finding of bile in the drained fluid.

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Case Information

rID: 39635
Case created: 13th Sep 2015
Last edited: 14th Sep 2015
Inclusion in quiz mode: Excluded

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