Abstract
Isolated gallbladder injury due to blunt trauma is a rare entity, and in particular there are only a few reported cases of intramural gallbladder hematoma. We report herein on our case of intramural gallbladder hematoma which was successfully treated with conservative treatment. A 15-year-old schoolboy soccer player was admitted to the emergency department with acute abdominal pain after falling on the soccer ball. On admission, he had stable vital signs and examination of his abdomen disclosed slight right hypochondrial pain without peritoneal signs. Blood analysis showed slight elevation of hepatic enzyme and biliary tract enzyme levels but neither leukocytosis nor anemia. Abdominal CT showed gallbladder wall thickening and an intramural hematoma. His clinical symptoms were stable, so a conservative treatment approach was adopted. His clinical course was uneventful and he was discharged 6 days after injury. In an imaging examination 1 month after injury, the gallbladder wall was still thickening but there was no intramural hematoma, and at 3 months after injury, imaging still showed no abnormal findings.
