ISOLATED GALLBLADDER RUPTURE SECONDARY TO CLOSED TRAUMA OF THE ABDOMEN MANAGED BY LAPAROSCOPIC CHOLECISTECTOMY: A CASE REPORT
Abstract
Introduction: Perforation of the gallbladder secondary to blunt trauma without other associated injuries is a rare condition. It usually occurs in conjunction with other abdominal injuries, so when isolated it constitutes a diagnostic challenge due to the late onset of symptoms, which are nonspecific and can occur even when complications already exist. Treatment must be comprehensive from admission and the need for surgical intervention will depend on the stability of the patient, reserving the laparoscopic route for hemodynamically stable patients.
Case presentation: A 22-year-old man with a clinical picture of abdominal pain in the upper hemiabdomen exacerbated in the supine position, associated with nausea and emesis, secondary to blunt abdominal trauma caused by forceful blow during a fight. A computerized axial tomography (CT) of the abdomen with contrast was performed, showing a gallbladder with blood content and possible perforation. Given hemodynamic stability, the patient was taken to laparoscopic cholecystectomy with adequate control of bleeding and without subsequent complications.
Conclusion: Gallbladder trauma represents a challenge for the surgeon considering the variety that exists in terms of its clinical presentation. Its approach should be comprehensive from admission and the need for surgical intervention will depend on the stability of the patient, reserving the laparoscopic route for hemodynamically stable patients.
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