Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2023; 15(11): 2639-2645
Published online Nov 27, 2023. doi: 10.4240/wjgs.v15.i11.2639
Isolated traumatic gallbladder injury: A case report
Dong-Liang Liu, Jun-Yong Pan, Tian-Cong Huang, Cheng-Zong Li, Wen-Du Feng, Gao-Xiong Wang
Dong-Liang Liu, Jun-Yong Pan, Tian-Cong Huang, Cheng-Zong Li, Wen-Du Feng, Gao-Xiong Wang, Department of Hepatobiliary & Pancreatic Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Gao-Xiong Wang, Department of Hospital Administration Office, Quanzhou Women's and Children's Hospital, Quanzhou 362000, Fujian Province, China
Author contributions: Liu DL contributed to manuscript writing and editing, and data collection; Pan JY, Huang TC, Li CZ, Feng WD contributed to conceptualization and supervision; Wang GX provided clinical advice, reviewed the manuscript, and gave final approval; all authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There is no conflict of interest between all authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gao-Xiong Wang, Doctor, MD, Professor, Surgeon, Department of Hepatobiliary & Pancreatic Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China.wanggaoxiong2013@163.com
Received: July 27, 2023
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
Abstract
BACKGROUND

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.

CASE SUMMARY

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.

CONCLUSION

This article aims to improve clinicians' understanding of IGI and propose a method for the diagnosis and treatment of GI.

Keywords: Isolated gallbladder injury, Blunt abdominal trauma, Gall bladder trauma, Case report

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.