Laparoscopic cholecystectomy for traumatic gallbladder perforation

C. Hamilton, S. P. Carmichael, A. C. Bernard

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

In trauma, laparoscopic surgery is commonly utilized as a diagnostic rather than therapeutic measure (1). Its use is often negated because of exigency or limitations in visibility due to haemorrhage. In the present case, a 35-year-old male was involved in a motor vehicle collision and arrived haemodynamically stable with abdominal pain. Abdominal CT revealed liver laceration and active contrast extravasation near the gallbladder fossa. Although angiography with embolization would normally be used, exploratory laparoscopy was performed because of concern for gallbladder injury. The gallbladder was found to be perforated and nearly completely avulsed from the fossa. Laparoscopic cholecystectomy was performed and the patient recovered uneventfully. Gallbladder perforation after trauma is typically an incidental finding during operation for haemorrhagic shock or other indication. Early diagnosis and swift surgical intervention are required, usually via laparotomy. However, when diagnosed preoperatively in the stable trauma victim, gallbladder perforation can be treated successfully with laparoscopy.

Original languageEnglish
Pages (from-to)13
Number of pages1
JournalJournal of Surgical Case Reports
Volume2012
Issue number6
DOIs
StatePublished - Jun 2012

Bibliographical note

Publisher Copyright:
© 2012 JSCR.

ASJC Scopus subject areas

  • Surgery

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