DOI: https://doi.org/10.36347/sasjs.2026.v12i03.003

Pages: 193-196

Penetrating abdominal wounds are a common surgical emergency. Although hepatic injuries are frequent, associated gallbladder trauma remains rare and is often difficult to diagnose. We report the case of a 35-year-old man who sustained a penetrating abdominal stab wound. Computed tomography revealed a hepatic laceration with suspected gallbladder injury. Exploratory laparotomy confirmed a segment IV liver laceration with spontaneous hemostasis and an associated gallbladder perforation. An antegrade cholecystectomy and drainage were performed. The postoperative course was uneventful. This case highlights the diagnostic challenges of gallbladder injuries associated with liver trauma, the value of CT and laparoscopy, and the need for conversion to laparotomy when digestive injuries are suspected. Timely and appropriate management improves prognosis, particularly in the presence of associated biliary lesions.