Diagnosis and Treatment of Gallbladder Torsion in a 6 Year Old

Tc, Farnsworth; Ca, Weiss

doi:10.4293/108680813x13654754534396

Cited by 6 publications

(7 citation statements)

References 9 publications

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“…Gallbladder volvulus is remarkably rare in children with less than 60 reported cases in the world literature [1][2][3][4][5][6]. The first pediatric case was described in 1925 by Daux, with subsequent reports stressing the diagnostic challenge and high mortality if not promptly treated [7,8].…”

Section: Discussionmentioning

confidence: 99%

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Lemons¹,

Desimone²,

Seifarth³

2022

Cureus

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Gallbladder volvulus is a rare gallbladder pathology that can present in adults but is exceedingly rare in children. The diagnosis itself can be very challenging due to its presentation with signs and symptoms of acute cholecystitis without specific imaging findings. The correct identification and prompt intervention with a cholecystectomy are crucial to improve patient outcomes. In this report, we discuss a pediatric patient who presented with gallbladder volvulus and subsequently underwent novel treatment with a single-port laparoscopic cholecystectomy.The patient is a 12-year-old male of Haitian descent who presented to an outside facility following the onset of persistent, right upper quadrant abdominal pain and recurrent nonbilious emesis. The diagnostic workup included serial abdominal exams, laboratory work, right upper quadrant ultrasounds, and a hepatobiliary iminodiacetic acid (HIDA) scan. The patient then underwent single-port laparoscopic removal of the torsed gallbladder with complete resolution of his symptoms. In this case report, the management and clinical presentation of gallbladder volvulus are discussed in more detail as well as the feasibility of single-port laparoscopic cholecystectomy in the setting of pediatric gallbladder volvulus.

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Section: Discussionmentioning

confidence: 99%

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Lemons¹,

Desimone²,

Seifarth³

2022

Cureus

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“…However, in children, the symptoms are nonspecific 4 ; accurate preoperative diagnosis is sometimes difficult, and the condition is often diagnosed as appendicitis. 2 , 5 Computed tomography, AUS, and magnetic resonance cholangiopancreatography have been reported to be useful for preoperative diagnosis of GT. 4 , 6 In particular, the twisted cystic pedicle on CT or AUS could be informative for a diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only four cases of LC for GT have been reported in the English literature in pediatric cases. 4 , 5 , 6 , 9 (Table 1 ). Although sufficient conclusions have not yet been established, LC for GT might be a good procedure, even in emergency pediatric cases.…”

Section: Discussionmentioning

confidence: 99%

“…reported that two of 11 pediatric patients with GT died due to delayed diagnosis. However, in children, the symptoms are nonspecific 4 ; accurate preoperative diagnosis is sometimes difficult, and the condition is often diagnosed as appendicitis 2,5 . Computed tomography, AUS, and magnetic resonance cholangiopancreatography have been reported to be useful for preoperative diagnosis of GT 4,6 .…”

Section: Discussionmentioning

confidence: 99%

“…reported that LC is a good option in surgery for GT because the mobile mesentery adheres less to the gallbladder bed. To the best of our knowledge, only four cases of LC for GT have been reported in the English literature in pediatric cases 4–6,9 . (Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic cholecystectomy for gallbladder torsion in a 3‐year‐old child

Uemura

Maeda

Obatake

et al. 2021

Acute Medicine & Surgery

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Background: Gallbladder torsion is a congenital abnormality of the gallbladder and is a rare cause of acute abdomen. Although gallbladder torsion is a life-threatening condition requiring emergency surgery, laparoscopic cholecystectomy for gallbladder torsion in pediatric patients has seldom been reported.Case presentation: A 3-year-old boy with abdominal pain and vomiting was admitted to our hospital. He was diagnosed with acute cholecystitis through abdominal ultrasound and computed tomography, and he received antibiotics. Two days after admission, a repeat abdominal ultrasound revealed exacerbation of gallbladder wall thickness and lack of intramural blood flow, which led to a diagnosis of gallbladder torsion. Emergency laparoscopic cholecystectomy was performed, and the gallbladder was twisted counterclockwise at 270°. After an uneventful course of intraoperative and postoperative treatment, the patient was discharged on postoperative day 6. Conclusion:Laparoscopic cholecystectomy for gallbladder torsion was safely performed in a pediatric patient.

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Gallbladder volvulus in a 5–years old Vietnamese female: A case report

Tiep,

Ninh,

Hung

et al. 2024

Clinical Case Reports

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Key Clinical MessageGallbladder volvulus (GV) is a medical emergency and a rare cause of acute abdominal pain among the pediatric population. GV is more prominent usually in boys in pediatric patients. If it is not diagnosed and surgically intervened promptly, GV will become a life‐threating condition. Fortunately, a safe and effective laparoscopic cholecystectomy is now widely indicated. A 5 years old female patient with abdominal pain and heavy much vomiting was referred to the emergency room in our hospital. She was suspiciously diagnosed with acute inflammation of the gallbladder according to the results of abdominal ultrasound and computerized tomography (CT) scan already performed on admission. One day after the hospitalization, abdominal ultrasound, and CT scan were performed again because of intensification of her abdominal pain and revealed the clinical portrait of GV such as a “floating gallbladder” sign, an echogenic cone structure, an elongated axis displaced horizontally instead of vertically and a lack of intramural blood flow. The acute GV diagnosis was made and the patient was operated, using the laparoscopic cholecystectomy on time, the gallbladder was tightly twisted clockwise at approximately 720°. The operation and postoperative treatment went quite well and the patient was discharged from the hospital on postoperative Day 7. GV is very rare in children, easily omitted or misdiagnosed with cholecystitis. Imaging diagnosis such as ultrasound, CT with contrast helps make diagnosis promptly that avoids severe complications such as gallbladder perforation, necrosis, and biliary peritonitis.

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Diagnosis and Treatment of Gallbladder Torsion in a 6 Year Old

Abstract: Laparoscopic evaluation can be useful in a setting of clinical and radiographic diagnostic uncertainty.

Cited by 6 publications

References 9 publications

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Laparoscopic cholecystectomy for gallbladder torsion in a 3‐year‐old child

Gallbladder volvulus in a 5–years old Vietnamese female: A case report

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