Question:

Which statement is false?
1. Gallbladder contusion is an intraluminal hematoma.
2. The location of the gallbladder is protective against traumatic injury.
3. Diagnostic peritoneal lavage is sensitive and specific for gallbladder injury.
4. Isolated gallbladder injury patients are at increased morbidity and mortality risk.
5. Alcohol increases the risk of gallbladder rupture.





Answer:

The correct answer for the question "Which statement is false?" is:

3. Diagnostic peritoneal lavage is sensitive and specific for gallbladder injury.



Explanation
1 A gallbladder contusion is defined as an intraluminal hematoma. [Contusion is defined as an intraluminal hematoma and is often undiagnosed due to lack of acute signs or symptoms]

2 The gallbladder is protected by the liver and ribcage. [Isolated traumatic gallbladder injury occurs infrequently owing to its anatomic location, protected by the adjacent liver and ribcage]

3 Diagnostic peritoneal lavage is useful in blunt trauma, but is not specific for gallbladder injury. [Diagnostic peritoneal lavage, although a useful diagnostic tool in the evaluation of blunt abdominal trauma, is not particularly useful in the detection of gallbladder injury, as only 45% of patients found to have gallbladder injury at surgery had positive lavage in one study]

4 Patients with gallbladder injury often have non-specific symptoms which delays appropriate treatment. [Patients with isolated gallbladder injury are at increased risk for significant morbidity and mortality due to the lack of specific presenting symptoms]

5 Alcohol distends the gallbladder, increasing the risk of traumatic injury. [Alcohol increases risk of rupture as it increases sphincter of Oddi tone resulting in increased intraluminal pressure]



From the manuscript:
Isolated Gallbladder Injury in a Case of Blunt Abdominal Trauma
Radiology Case. 2012 Apr; 6(4):25-30


This article belongs to the GI section.




Bookmark and Share

From the manuscript

Isolated Gallbladder Injury in a Case of Blunt Abdominal Trauma

Free full text article: Isolated Gallbladder Injury in a Case of Blunt Abdominal Trauma

Abstract
The diagnosis of blunt injury to the gallbladder may constitute a significant challenge to the diagnostician. There is often a delay in presentation with non-specific clinical symptoms. In the absence of reliable clinical symptoms, diagnostic imaging becomes an invaluable tool in the rapid identification of gallbladder injury. We present a case of isolated gallbladder injury following blunt abdominal trauma which was diagnosed by computed tomography and subsequently confirmed by cholecystectomy.






References



1. Soderstrom CA, Maekawa K, Dupriest RW, Dowley RA. Gallbladder injuries resulting from blunt abdominal trauma. An experience and review Ann Surg 1982;49:636-641
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Pavlidis TE, Lalountas MA, Psarras K, Symeonidis NG, Tsitlakidis A, Pavlidis ET, Ballas K, Flaris N, Marakis GN, Sakantamis AK. Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature. J Med Case Reports 2011;5:392
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Van Kerschaver O, De Witte B, Kint M, Vereecken L. An unusual case of blunt abdominal trauma: a bleeding and ruptured gallbladder managed by laparoscopy. Acta chir belg 2006;106:417-149
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Tudyka V, Toebosch S, Zuidema W. Isolated gallbladder injury after blunt abdominal trauma: a case report and review. Eur J Trauma Emerg Surg 2007;33:545-9 No
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Jaggard MKJ, Johal NS, Choudhry M. Blunt abdominal trauma resulting in glabladder injury: a review with emphasis on pediatrics. J Trauma 2011;70:1005-1010
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Sharma O. Blunt gallbladder injuries: Presentation of twenty-two cases with review of the literature. J trauma: injury infection crit care 1995;39:576-580
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Penn I Injuries of the gallbladder. Br J Surg 1962;49:636.
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Losanoff JE, Kjossev KT. Complete traumatic avulsion of the gallbladder. Injury 1990;30:365-368
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Chen X, Lee TB, Jurkovitch GJ. Gallbladder avulsion due to blunt trauma. AJR 2001;177:822
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Spigos DG, Tan WS, Larson G, Palani C, Laintoon MM, Capek V. Diagnosis of traumatic rupture of the gallbladder. AM J Surg 1981;141:731-735
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Schachter P, Czerniak A, Shemesh E, Avigad I, Lotan G, Wolfstein I. Isolated gallbladder rupture due to blunt abdominal trauma. HBP Surgery 1989;1:359-362
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Erb RE, Mirvis SE, Shanmuganathan K. Gallbladder injury secondary to blunt trauma: CT findings. J Comput Assist Tomogr 1994;18:778-784
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Iwacewicz P, Wojskowicz P, Safiejko K, Barczyk J, Dadan J. Traumatic rupture of the gallbladder after blunt abdominal trauma Advances in Medical Sciences 2007;52:294-295.
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Umana IE, Dwyer JP. Vicarious contrast excretion by the gallbladder in contrast nephropathy. Kidney International 2009;75:446
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Ball DS, Friedman AC, Radecki PD, Caroline DF. Avulsed gallbladder: CT appearance. J Comput Assist Tomogr 1988;12:538-539
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Wittenberg A, Minotti AJ. CT diagnosis of traumatic gallbladder injury. AJR 2005;185:1573-1574
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Jeffrey RB, Federle MP, Laing FC, Wing VW. Computed tomography of blunt trauma to the gallbladder. J Comput Assist Tomogr 1986;10:756-758
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Zeman RK, Lee CH, Stahl R. Strategy for the use of biliary scintigraphy in non-iatrogenic biliary trauma. Radiology 1984;151:771-777
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Wong YC, Wang LJ, Chen CJ. MRI of an isolated traumatic perforation of the gallbladder. J Comput Assist Tomogr 2000;24:657-658
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Gallbladder

2. Trauma

3. Computed tomography


This article belongs to the GI section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports