TRAUMATIC rupture of the gall bladder without a penetrating wound of the abdominal wall is considered to be a very rare condition. The literature is some-what confusing on the incidence. Rupture of a normal gall bladder without rupture of the liver must be even more unusual. The physiological distention of the gall bladder following a meal has been suggested as a possible predisposing cause. The present high incidence of automobile accidents would lead a physician to believe that the injury may go undiagnosed. This is especially true when there are other injuries of the body of major proportions.
Traumatic rupture of the gall bladder, unless treated surgically, is uniformly fatal. The literature in the past has references to aspirations of the abdominal cavity as a method of treating intraperitoneal collections of bile. However, these were generally considered to be from traumatic rupture of the liver and were not verified at