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Background <p>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&#xa0;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.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月26日

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  • Xiaodan Jiang,
  • Yang Zhang,
  • Yi Li,
  • Mingwei Sun,
  • Ping Zhou

摘要

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.