Abstract
Gallbladder volvulus in children is rare. Pre-operative diagnosis is considered difficult because of the nonspecific symptoms and inflammatory blood analysis findings. Sometimes diagnosis is confirmed at laparotomy. Many reports mention that the chief complaints of this disease are sudden and severe abdominal pain. We report a case of gallbladder volvulus in a boy with mild clinical symptoms and laboratory data of nonspecific inflammation. A reconstructed coronal CT abdominal view showed clearly the gallbladder torsion. Laparoscopic cholecystectomy was performed and postoperative course was uneventful. Recent reports have suggested the effectiveness of MRI. This case highlights the utility of a reconstructed coronal view of abdominal CT in successful pre-operative diagnosis for gallbladder volvulus in children.
This is a preview of subscription content, log in via an institution to check access.
References
Shaikh AA, Charles A, Domingo S et al (2005) Gallbladder volvulus: report of two original cases and review of the literature. Am Surg 71:87–89
Kimura T, Yonekura T, Yamauchi K et al (2008) Laparoscopic treatment of gallbladder volvulus: a pediatric case report and literature review. J Laparoendosc Adv Surg Tech A 18:330–334
Hamada T, Tajima Y, Yamaguchi J et al (2009) Torsion of the gallbladder in a 3-year-old infant. J Hepatobiliary Pancreat Surg 16:234–237
Levard G, Weil D, Barret D et al (1994) Torsion of the gallbladder in children. J Pediatr Surg 29:569–570
Kitagawa H, Nakada K, Enami T et al (1997) Two cases of torsion of the gallbladder diagnosed preoperatively. J Pediatr Surg 32:1567–1569
Matsuda A, Sasajima K, Miyamoto M et al (2009) Laparoscopic treatment for torsion of the gallbladder in a 7-year-old female. JSLS 13:441–444
Matsuhashi N, Satake S, Yawata K et al (2006) Volvulus of the gall bladder diagnosed by ultrasonography, computed tomography, coronal magnetic resonance imaging and magnetic resonance cholangio-pancreatography. World J Gastroenterol 12:4599–4601
Amarillo HA, Pirchi ED, Mihura ME (2003) Complete gallbladder and cystic pedicle torsion. Laparoscopic diagnosis and treatment. Surg Endosc 17:832–833
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Inoue, S., Odaka, A., Hashimoto, D. et al. Gallbladder volvulus in a child with mild clinical presentation. Pediatr Radiol 41, 113–116 (2011). https://doi.org/10.1007/s00247-010-1753-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-010-1753-0