Gallbladder perforation in blunt traumatic injury

Abstract

A 49-year-old man with a history of HIV presented to an urban level 1 trauma center as a pedestrian struck by a motor vehicle. In the trauma bay, the patient was hemodynamically stable (blood pressure 118/82 mm Hg) with sinus tachycardia (heart rate 107 beats/min). He was breathing comfortably with an SpO2 of 100% on room air, and he was alert and oriented with a Glasgow Coma Score of 15. The patient was in moderate distress, and complained of severe abdominal pain exacerbated by movement and transfer.