Paper| Volume 23, ISSUE 6, P413-414, 1992

Download started.


Gallbladder and extrahepatic biliary duct injury following abdominal trauma

  • P. Burgess
    Requests for reprints should be addressed to: Mr P. Burgess md, frcs, Senior Registrar, Department of Surgery, The Medical School, University of Newcastle upon Tyne, Framlington Place, Newcastle upon Tyne NE2 4HH, UK.
    Department of Surgery, University of Louisville, Louisville, Kentucky, USA
    Search for articles by this author
  • R.L. Fulton
    Department of Surgery, University of Louisville, Louisville, Kentucky, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.


      Extrahepatic biliary tract and gallbladder injuries are rare, but many occur after both blunt and penetrating abdominal trauma. During a 5-year period, 24 patients requiring laparotomy for abdominal trauma were found to have an extrahepatic biliary tract injury, representing 13 per cent of all patients admitted with hepatic trauma during the same period. The majority of patients had injury to the gallbladder; only one case of common bile duct injury was identified. Of the patients, 50 per cent had an associated hepatic injury; 17 per cent had important pancreatic trauma. Isolated gallbladder injury occurred in only 8 per cent of patients. The overall mortality associated with gallbladder trauma was 16 per cent. This uncommon injury usually results from severe trauma and is associated with a high incidence of other major visceral injuries.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Berne C.J.
        • Donovan A.J.
        • White E.J.
        • et al.
        Duodenal diverticularization for duodenal and pancreatic injury.
        Am. J. Surg. 1974; 127: 503
        • Burgess P.
        • Fox J.G.
        • Taylor R.M.R.
        Management of duodenal injuries by proximal T-tube drainage.
        Injury. 1991; 22: 321
        • Fletcher W.S.
        Non-penetrating trauma to the gallbladder and extrahepatic bile ducts.
        Surg. Clin. North Am. 1972; 52: 711
        • Flint L.M.
        • Malangoni M.A.
        Abdominal injuries.
        in: Richardson J.D. Polk H.C. Flint L.M. Trauma. Clinical Care and Pathophysiology. Year Book Medical Publishers Inc, Chicago, London1987: 366
        • Graham J.M.
        • Mattox K.L.
        • Vaughan G.D.
        • et al.
        Combined pancreato-duodenal injuries.
        J. Trauma. 1979; 19: 340
        • Kitahama A.
        • Elliot L.F.
        • Overby J.L.
        • et al.
        The extrahepatic biliary tract injury. Perspectives in diagnosis and treatment.
        Ann. Surg. 1982; 196: 536
        • Longmire Jr, W.P.
        Early management of injury to the extrahepatic biliary tract.
        JAMA. 1966; 195: 623
        • McFadden P.
        • Tanner G.
        • Kitahama A.
        Traumatic hepatic duct injury.
        Am. J. Surg. 1980; 139: 268
        • Norgore M.
        Traumatic rupture of the gallbladder: case reports and notes on choleperitoneum.
        Ann. Surg. 1946; 123: 127
        • Pen I.
        Injuries to the gallbladder.
        Br. J. Surg. 1962; 49: 636
        • Spigos D.G.
        • Tan W.S.
        • Larson G.
        • et al.
        Diagnosis of traumatic rupture of the gall bladder.
        Am. J. Surg. 1981; 141: 731
        • Weissmann H.S.
        • Chun K.J.
        • Frank M.
        • et al.
        Demonstration of traumatic bile haemorrhage with cholescintigraphy and ultrasonography.
        AJR. 1979; 133: 843
        • Wright J.E.
        Gallbladder rupture, an isolated seat belt injury.
        Med. J. Aust. 1976; 1: 785