Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 323-326, December 2009

Blunt Abdominal Injury With Isolated Gallbladder Hematoma

  • Hsing-Lin Lin

      Affiliations

    • Division of Trauma Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Healthcare Administration, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Jiun-Nong Lin

      Affiliations

    • Division of Infectious Diseases, Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan
    • ,
  • Wei-Che Lee

      Affiliations

    • Division of Trauma Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chao-Wen Chen

      Affiliations

    • Division of Trauma Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Liang-Chi Kuo

      Affiliations

    • Division of Trauma Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Corresponding Author InformationCorresponding author. Division of Trauma Surgery, Department of Surgery, Kaohsiung Medical University Hospital, 100, Tzyou 1st Road, Kaohsiung, Taiwan

Received 11 December 2008; received in revised form 5 January 2009; accepted 23 January 2009.

Article Outline

Abstract 

Blunt abdominal contusion is common in children, but isolated injury with gallbladder hematoma is rarely observed. Examining children can be difficult because they may not cooperate or understand procedures, and therefore, radiography is helpful for diagnosis. However, there are still limitations in applying radiographic examinations in diagnosing intra-abdominal injuries, especially in children with peritoneal signs or an unstable hemodynamic status. In these circumstances, invasive intervention with laparoscopy should be applied for further evaluation. We report here a 6-year-old girl with blunt abdominal trauma in whom hepatobiliary injury was noted on computed tomography and magnetic resonance imaging. Because the patient was unconscious, had unstable vital signs, and the radiographic study was ambiguous, peritonitis could not be excluded. A laparoscopy was then performed and isolated gallbladder hematoma was diagnosed. The patient was discharged after laparoscopic intervention and orthopedic fixation.

Keywords:  Blunt abdominal injury , Gallbladder hematoma , Pediatric trauma

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PII: S1016-3190(09)60063-X

doi:10.1016/S1016-3190(09)60063-X

Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 323-326, December 2009

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