Traumatic gallbladder injury is a rare condition particularly following penetrating trauma. This report discusses a 30-year-old male with no prior medical history who presented to the emergency department one day after a stab wound to the abdomen. Initial examination indicated hemodynamic stability and a superficial abdominal wound. However, CT imaging revealed massive hemoperitoneum and an intravesicular hematoma within the gallbladder.Following diagnostic imaging, exploratory laparoscopy was performed and converted to a midline laparotomy due to significant findings. A 2-cm gallbladder perforation, a linear liver laceration, and active abdominal wall bleeding were identified. Surgical management included debridement, retrograde cholecystectomy, and drainage of the peritoneal cavity. This case highlights the diagnostic challenges associated with gallbladder injuries from stab wounds and the need for prompt surgical intervention.
Abdessamad et al. (Tue,) studied this question.