Gallbladder volvulus: An unexpected “twist”

Lim, Li Xian; Mahin, Humaira Haider; Burnett, David

doi:10.1016/j.radcr.2022.03.026

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Due to the large mobility, the gallbladder is prone to torsion along the axis of the cystic duct and the cystic artery ( 13 ), and this pediatric patient belongs to this type. (2) Acquired anatomical factors: The higher incidence of GT in the elderly is due to the gradual atrophy and reduction of the tissue structure around the gallbladder and the adipose tissue supporting the gallbladder during the aging process, the tissue degeneration and elasticity decrease and the gallbladder dropping makes the mesentery of the gallbladder longer ( 14 , 15 ). In addition, peristalsis of the stomach, duodenum, and transverse colon and external factors such as physical labor and sudden changes in body position may cause GT ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Rare floating gallbladder torsion in a child

Ren,

Liu,

Liu

et al. 2024

Front. Med.

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Gallbladder Torsion (GT) refers to serious biliary emergencies caused by the torsion of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. It is very rare, especially in children. The clinical data of a child with floating gallbladder torsion who was treated in our hospital on March 14, 2024, were analyzed. A 6-year-old girl presented with abdominal pain and vomiting. Physical examination showed a mass in the right middle abdomen. Laboratory tests showed normal liver biochemical function and white blood cells. The benign lesion was considered by color Doppler ultrasound and CT, and the floating torsion of the gallbladder was diagnosed by MRCP and laparoscopic exploration. The child was treated with laparoscopic cholecystectomy (LC) and recovered well after the operation.

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Section: Discussionmentioning

confidence: 99%

Case report: Rare floating gallbladder torsion in a child

Ren,

Liu,

Liu

et al. 2024

Front. Med.

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“…US examination may show a hypoechoic edematous layer between the muscular wall and the mucosa due to venous and lymphatic stasis. Some authors have reported the sonographic finding of a stretched cystic duct and gallbladder neck, appearing as a conical-shaped structure composed of multiple linear echoes converging towards the tip ("cystic duct knot sign") [181][182][183]. The sonographic finding of portal venous gas associated with gallbladder ischemia in GV has been described [184].…”

Section: Gallbladder Volvulusmentioning

confidence: 99%

New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Mencarini,

Vestito,

Zagari

et al. 2024

Gastroenterology Insights

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Gallbladder diseases are very common, and their diagnosis is based on clinical–laboratory evaluation and imaging techniques. Considering the different imaging diagnostic tools, ultrasound (US) has the advantage of high accuracy combined with easy availability. Therefore, when a gallbladder disease is suspected, US can readily assist the clinician in the medical office or the emergency department. The high performance of US in the diagnosis of gallbladder diseases is mainly related to its anatomic location. The most frequent gallbladder pathological condition is gallstones disease, easily diagnosed via US examination. Acute cholecystitis (AC), a possible complication of gallstone disease, can be readily recognized due to its specific sonographic features. Additionally, a number of benign, borderline or malignant gallbladder lesions may be detected via US evaluation. The combined use of standard B-mode US and additional sonographic techniques, such as contrast-enhanced ultrasonography (CEUS), may provide a more detailed study of gallbladder lesions. Multiparametric US (combination of multiple sonographic tools) can improve the diagnostic yield during gallbladder examination.

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“…Some authors have reported the sonographic finding of stretched cystic duct and gallbladder neck, appearing as a conical-shaped structure composed of multiple linear echoes converging towards the tip ("cystic duct knot sign"). [212][213][214] The sonographic finding of portal venous gas associated to gallbladder ischemia in GV has been described. [215] CD evaluation can detect blood flow interruption in the cystic pedicle, typically associated to the complete gallbladder torsion, and absence of vascular signals in the gallbladder wall.…”

Section: Gallbladder Volvulusmentioning

confidence: 99%

Current Status and New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Mencarini,

Vestito,

Zagari

et al. 2023

Preprint

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Gallbladder diseases are very common and their diagnosis is based on clinical-laboratory evaluation and imaging techniques. Considering the different imaging diagnostic tools, ultrasound (US) has the advantage of high accuracy combined with easy availability. Therefore, when a gallbladder disease is suspected, US can readily assist the clinician in the medical office or in the emergency department. The high performance of US in the diagnosis of gallbladder diseases is mainly related to its anatomic location. The most frequent gallbladder pathological condition is gallstones disease, easily diagnosed by US examination. Acute cholecystitis (AC), a possible complication of gallstone disease, can be readily recognized, due to its specific sonographic features. Additionally, a number of benign, borderline or malignant gallbladder lesions may be detected by US evaluation. The combined use of standard B-mode US and additional sonographic techniques, such as contrast-enhanced ultrasonography (CEUS), may provide a more detailed study of gallbladder lesions. Multiparametric US (combination of multiple sonographic tools) can improve the diagnostic yield during gallbladder examination.

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Gallbladder volvulus: An unexpected “twist”

Cited by 4 publications

References 17 publications

Case report: Rare floating gallbladder torsion in a child

Case report: Rare floating gallbladder torsion in a child

New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Current Status and New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

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