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Multiple organ dysfunction caused by fish gallbladder poisoning: a case report and literature review

Year: 2026

Type: article

Abstract: BACKGROUND: Ingestion of raw fish gallbladder remains a rare but potentially life-threatening cause of toxin-induced multi-organ dysfunction in certain Asian regions. Case presentation: A previously healthy 57-year-old woman developed acute kidney injury and hepatic dysfunction within 24 h after ingesting a raw fish gallbladder. Rapid laboratory deterioration prompted early initiation of hemoperfusion combined with continuous veno-venous hemodiafiltration, alongside comprehensive supportive management. Organ function gradually improved, and she was discharged without permanent sequelae. Conclusions: Although the toxic effects of fish gallbladder ingestion have been described, this case highlights the importance of early recognition and structured emergency management. Prompt extracorporeal toxin removal and coordinated multi-organ support may improve outcomes in severe presentations.

Source: International Journal of Emergency Medicine

DOI: 10.1186/s12245-026-01176-3

Authors: Xiaodan Jiang, Yang Zhang, Yi Li, Mingwei Sun, Ping Zhou

Institutions: University of Electronic Science and Technology of China, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital

Language: English

Topic: Poisoning and overdose treatments

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,090