NAS says EMFs no hazard.

Background: Blunt injuries to the gallbladder occur rarely, and the incidence of isolated damage to the gallbladder is even smaller. We report a case of delayed presentation of isolated rupture of the gallbladder following blunt trauma to the abdomen. Case presentation: A 65 year old lady presented through the Emergency Department with a 1 week history of blunt trauma to her abdomen. She complained of continued epigastric pain which radiated through to her back and right upper quadrant. On presentation, the patient had a low grade temperature, hypotension and mild tachycardia. Abdominal examination revealed right upper quadrant tenderness with no localised peritonism. C-reactive protein was 451. An abdominal CT showed a moderate amount of ascitic fluid in the perihepatic space. The patient underwent a laparotomy, which revealed a ruptured gallbladder with free bile. There was no evidence of any associated injuries to the surrounding organs. Partial cholecystectomy was done in view of the friable nature of the gallbladder. Post operatively, a persistent bile leak was managed successfully with endoscopic sphincterotomy and stenting. Conclusion: Rupture of the gallbladder due to blunt injuries to the abdomen occurs from time to time and may constitute a diagnostic challenge especially with delayed presentation. Partial cholecystectomy is a safe option in cases where friability of the wall renders formal cholecystectomy inadvisable. Endoscopic sphincterotomy and stenting is a safe and effective treatment for persistent post operative bile leaks. Background Blunt injuries to the gallbladder occur rarely, and the incidence of isolated damage to the gallbladder is even smaller [1-3]. The delay in presentation of the injury is not unusual. Significant morbidity or even mortality can result from delay in diagnosis, which can easily occur due to both rarity of the condition and low amplitude of symptoms. It is very important to bear in mind the possibility of such injury when confronted with a case of upper abdominal pain following blunt abdominal trauma. We Published: 16 July 2007 Journal of Medical Case Reports 2007, 1:52 doi:10.1186/1752-1947-1-52 Received: 30 March 2007 Accepted: 16 July 2007 This article is available from: http://www.jmedicalcasereports.com/content/1/1/52 © 2007 Bainbridge et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.