Blunt traumatic injury of the gallbladder in childhood.

OBJECTIVE

To illustrate blunt traumatic injury of the gallbladder in childhood.

DESIGN

A case report.

SETTING

Hospital.

SUBJECT

An eight year old boy.

MAIN OUTCOME MEASURE

Incidence, history, treatment.

RESULT

The gallbladder was ruptured at the neck necessitating a cholecystectomy. The child has remained well at three months follow up.

CONCLUSIONS

Blunt traumatic injury of the gallbladder, though rare, does occur usually as a consequence of direct abdominal injury especially in children during sporting activities and fights. Minor injuries can be repaired but cholecystectomy is necessary in more extensive injuries or injury to the cystic duct and neck. A comprehensive history taking including direct questioning regarding trauma and a high index of suspicion are important for early diagnosis and prompt treatment.