Published online Nov 27, 2023. doi: 10.4240/wjgs.v15.i11.2639
Peer-review started: July 27, 2023
First decision: September 11, 2023
Revised: September 20, 2023
Accepted: September 27, 2023
Article in press: September 27, 2023
Published online: November 27, 2023
Processing time: 122 Days and 22.1 Hours
Isolated gallbladder injury (GI) (IGI) directly induced by abdominal trauma is rare. Symptoms, indications, and imaging examinations of IGI are frequently non-specific, posing tremendous diagnostic challenges, which are simple to overlook and may have severe implications. Improving doctors' understanding of gallbladder injury (GI) facilitates early detection and decreases the likelihood of severe consequences, including death.
We report a case of IGI caused by blunt violence (after falling from three meters with the umbilicus as the stress point) and performed laparoscopic repair of the gallbladder rupture, which helps clinicians understand IGI and reduce the severe consequences of delayed diagnosis. Through extensive medical history and dynamic abdominal ultrasound evaluation, doctors can identify GI early and begin surgery, thereby decreasing the devastating repercussions of delayed diagnosis.
This article aims to improve clinicians' understanding of IGI and propose a method for the diagnosis and treatment of GI.
Core Tip: Blunt-force closed abdominal injury is a prevalent clinical condition. Gallbladder injury directly caused by blunt violence in the abdomen is rare, and isolated traumatic gallbladder injury is even rarer. No literature study has determined the likelihood of solitary traumatic gallbladder injury in closed abdominal injury. Therefore, in the diagnosis and treatment of closed abdominal trauma, gallbladder injury is easy to be ignored by clinicians because gallbladder injury is rare. If undiagnosed and untreated, it can cause significant consequences, including death.