We draw attention to the proposed anatomic classification systems because they are of some use in guiding treatment. Despite the developments in modern computed tomography, identifying gallbladder perforation is difficult because of the subtlety and rarity of the condition. Therefore, we recommend that gallbladder perforation is suspected in those patients who have drunk alcohol or eaten recently. Gallbladder perforation is more likely in cases when the gallbladder is distended and thin-walled at the time of injury. The authors highlight the incidence of associated visceral injuries in gallbladder trauma (>90%). Literature searches were performed using Pubmed and Medline with keywords "abdominal trauma," "gallbladder injury," and "gallbladder perforation." While cholecystectomy is the preferred treatment, there are occasions when the gallbladder may be left in situ and these are discussed. The classification system of Losanoff has merit in guiding treatment. Making the diagnosis requires astute clinical acumen and radiologic interpretation. Any delay in diagnosis and definitive management will worsen the prognosis. In pediatrics, blunt abdominal trauma presents additional challenges of difficult historians and compensating physiology. The patient typically has vague abdominal pain and occasionally a period of remission depending on the type of gallbladder injury. It has vague symptoms usually with inconclusive investigation results hence, it is often diagnosed at laparotomy. Gallbladder injury is reported to be between 1.9% and 2.1% of all abdominal traumas. Gallbladder injury in blunt abdominal trauma is a rare and difficult diagnosis.
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