Handlebar versus gallbladder: A case of isolated gallbladder
A 51-year-old male presented to the emergency department 4 h after falling off a pushbike onto his right side at 20 km/h. He presented to hospital after initially returning home for a brief period, where he reported symptoms of dizziness and nausea and noticed increased swelling to of right side of his abdomen.

Focused abdominal ultrasound showed free fluid in right upper quadrant. Secondary survey identified right chest wall tenderness, right upper quadrant tenderness and distension, and grazes on the abdomen.

He proceeded to contrast enhanced computer tomography (CT) that demonstrated haemoperitoneum, grade II splenic laceration, right sixth to eighth rib fractures, and right transverse process fracture of the first lumbar vertebra. The patient underwent an emergency trauma laparotomy that revealed one litre haemoperitoneum, perforated gallbladder with free gallbladder calculi, grade I duodenal haematoma and a grade II splenic laceration.

Source: Journal of trauma case reports

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