Abstract
We represent the US findings of isolated gallbladder rupture caused by blunt abdominal trauma in a 13-year-old boy. At the initial US examination, although a pericholecystic fluid collection was observed, the mildly collapsed gallbladder was regarded as a contracted gallbladder. Even though the patient was haemodynamically stable, repeat US examination after 24 h revealed gallbladder perforation. In haemodynamically stable trauma patients repeated US examinations can be useful and are strongly recommended.
Similar content being viewed by others
References
Sharma O (1995) Blunt gallbladder injuries: presentation of twenty-two cases with review of the literature. J Trauma 39:576–580
Gupta A, Stuhlfaut JW, Fleming KW et al (2004) Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics 24:1381–1395
Chen X, Talner LB, Jurkovich GJ (2001) Gallbladder avulsion due to blunt trauma. AJR 177:822
Schachter P, Czerniak A, Shemesh E et al (1989) Isolated gallbladder rupture due to blunt abdominal trauma. HPB Surg 1:359–362
Kohler R, Millin R, Bonner B et al (2002) Laparoscopic treatment of an isolated gallbladder rupture following blunt abdominal trauma in a schoolboy rugby player. Br J Sports Med 36:378–379
Van Kerschaver O, De Witte B, Kint M et al (2006) An unusual case of blunt abdominal trauma: a bleeding and ruptured gall-bladder managed by laparoscopy. Acta Chir Belg 106:417–419
Kao EY, Desser TS, Jeffrey RB (2002) Sonographic diagnosis of gallbladder rupture. J Ultrasound Med 21:1295–1297
Marco GG, Diego S, Giulio A et al (2005) Screening US and CT for blunt abdominal trauma: a retrospective study. Eur J Radiol 56:97–101
Estevao-Costa J, Soares-Oliveira M, Lopes JM et al (2002) Idiopathic perforation of the gallbladder: a novel differential diagnosis of acute abdomen. J Pediatr Gastroenterol Nutr 35:88–89
Kim PN, Lee KS, Kim IY et al (1994) Gallbladder perforation: comparison of US findings with CT. Abdom Imaging 19:239–242
Madrazo BL, Francis I, Hricak H et al (1982) Sonographic findings in perforation of gallbladder. AJR 139:491–496
Sood BP, Karla N, Gupta S et al (2002) Role of sonography in the diagnosis of gallbladder perforation. J Clin Ultrasound 30:270–274
Konno K, Ishida H, Sato M et al (2002) Gallbladder perforation: color Doppler findings. Abdom Imaging 27:47–50
Haller JO, Condon VR, Berdon WE et al (1989) Spontaneous perforation of the common bile duct in children. Radiology 172:621–624
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Akay, H.O., Senturk, S., Cigdem, M.K. et al. Isolated traumatic gallbladder rupture: US findings and the role of repeat US in diagnosis. Pediatr Radiol 38, 691–693 (2008). https://doi.org/10.1007/s00247-008-0759-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-008-0759-3