Gallbladder perforation as a rare complication of minor blunt abdominal trauma: a case report.

IF 2.6 Q1 SURGERY

Patient Safety in Surgery Pub Date : 2025-05-06 DOI:10.1186/s13037-025-00431-5

Haddis Birhanu W/Kiros, Ashenafi Amsalu Feleke, Kidanemariam Mulualem Alamir, Temesgen Agegnehu Abebe, Wudie Mekonen Alemu, Shimelis Seid Tegegne, Habtu Adane Aytolign

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Abstract

Background: Blunt abdominal trauma leading to gallbladder injury is rare and presents a diagnostic challenge. Here, we present scenario of gallbladder perforation due a blow from a fist to the abdomen.

Case presentation: A 30-years old male patient was admitted to University of Gondar comprehensive specialized hospital emergency department in Ethiopia due to blow from a fist on the right upper abdomen with a presumptive diagnosis of generalized peritonitis and underwent emergency laparotomy. The operative finding showed that, gallbladder was perforated at the fundus and a cholecystectomy was done. Postoperative time was uneventful and discharged on the 5th postoperative day.

Conclusion: Isolated gallbladder injury from a fist fight is rare, however, should be considered in the differential diagnosis of patients presenting with abdominal pain following minor blunt abdominal trauma.

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胆囊穿孔是腹部轻微钝性创伤的罕见并发症：1例报告。

背景：钝性腹部创伤导致胆囊损伤是罕见的，并提出了诊断挑战。在这里，我们提出的方案胆囊穿孔，由于从拳头打击到腹部。病例介绍：一名30岁男性患者因右上腹部被拳头击打，推定诊断为广泛性腹膜炎，被埃塞俄比亚贡达尔大学综合专科医院急诊科收治，并接受了紧急剖腹手术。手术发现胆囊底穿孔，行胆囊切除术。术后时间平稳，于术后第5天出院。结论：单纯的拳击战造成的胆囊损伤是罕见的，但在轻度钝性腹部创伤后腹痛患者的鉴别诊断中应予以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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