DEVELOPMENT OF BLACK GALLSTONES AFTER THE NONSURGICAL MANAGEMENT OF SPLENIC INJURY - REPORT OF A CASE

A 22-year-old man was admitted to our Emergency Department after suffe ring splenic injury in a traffic accident, His intraabdominal bleeding was treated nonsurgically by the administration of total parenteral n utrition (TPN) and blood transfusions of packed red cells, Ne presente d again 2 months after his discharge, being 3 months after the injury, for right hypochondralgia, at which time a gallstone was demonstrated on ultrasound (US) and computed tomograph ((ST), After endoscopic lap aroscopic cholecystectomy, his symptoms disappeared and he has remaine d well since, The clinical course of this patient indicates that hemol ytic hyperbilirubinemia can cause black gallstones as a late complicat ion of the nonsurgical management of abdominal blunt trauma.