Preoperative diagnosis of gallbladder torsion by magnetic resonance cholangiopancreatography: A case report

Miyata, Takashi; Sannomiya, Yuta; Nagayama, Taigo; Kin, Ryosuke; Nishiki, Hisashi; Hashimoto, Akifumi; Fujii, Yasuhiro; Miura, Seiko; Kaida, Daisuke; Tomita, Yasuto; Nakamura, Naohiko; Miyashita, Tomoharu; Fujita, Hideto; Ueda, Nobuhiko; Takamura, Hiroyuki

doi:10.1002/ccr3.5487

Cited by 5 publications

(9 citation statements)

References 11 publications

(14 reference statements)

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“…Laboratory tests showed normal white blood cells, bilirubin, and transaminase results, and the possibility of choledochal cysts and mesenteric cysts could not be ruled out. With the progression of the disease, the child’s abdominal pain worsened, and further MRCP was performed ( 20 ), which highly suspected the free gallbladder and torsion. Laparoscopic exploration was performed, and the gallbladder was counterclockwise rotated 720°, and laparoscopic LC was performed ( 21 ).…”

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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“…In type 4, poor gallbladder mesenteric attachment may occur, as in cases of liver atrophy or cirrhosis, peritoneal fat loss secondary to aging, and weight loss [7,13,20,21]. These abnormal attachments predispose the gallbladder to torsion, herniation, strangulation, and increased stone formation [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Floating Gallbladdermentioning

confidence: 99%

Gallbladder Position Anomalies: Clinical Impacts and Management

Redwan

2023

Gallbladder - Anatomy, Pathogenesis, and Treatment

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Gallbladder position anomalies are rare. Normally, the gallbladder is located at the inferior surface of the right lobe of the liver between segments IV and V, covered by the peritoneum, and attached to the liver by its mesentery in the gall bladder fossa. Any position other than this is defined as a gallbladder position anomaly. Gallbladder ectopia variants may include floating, intrahepatic, retroperitoneal, and left-sided gallbladder, among others. According to some literature, floating gallbladder is the most common among these anomalies, occurring in 4.6% of population; however, there is no clear and adequate data on incidence and variants of gallbladder position anomalies. Because of their rare occurrence and lack of specific clinical and imaging features, their possible presence and clinical sequelae are not usually considered in clinical practice. This results in delayed diagnosis and treatment of sequelae, such as in gallbladder volvulus (GBV). Similarly, gallbladder position and associated biliary tree and vascular anomalies should be identified during the preoperative period. Failing to do this may have devastating outcomes. Though clinical impacts and management of gallbladder position anomalies are explained in some literature, they are not well covered by most of the currently available surgical books. To fill this gap, this chapter discusses the embryology, variants, prevalence, clinical impacts, and management of ectopic gallbladder as well as ways to increase the rate of preoperative diagnosis and methods to decrease adverse outcomes and morbidity.

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“…Gallbladder torsion is a rare disorder occurring when the gallbladder twists along its axis and only approximately 500 cases have been reported in the English literature [1,2]. Preoperative diagnosis is difficult due to similar signs and symptoms and image findings as other acute cholecystitis [3]. Emergent cholecystectomy is the preferred treatment in most cases.…”

Section: Introductionmentioning

confidence: 99%

“…CT and MRCP findings and imaging such as ultrasound and CT are often obtained yet rarely reveal the diagnosis of gallbladder torsion. CT imaging findings suggestive of possible gallbladder torsion include a fluid collection between the gallbladder and the gallbladder fossa of the liver, a horizontal arrangement of the long axis of the gallbladder, a well-enhanced cystic duct located on the right side of the gallbladder, and signs of inflammation such as edema and gallbladder wall thickening[3,10]. MRCP imaging findings may aid in the preoperative diagnosis of gall-bladder torsion by showing a V-shaped distortion of the extrahepatic bile ducts due to a twisting of the cystic duct.…”

mentioning

confidence: 99%

“…MRCP imaging findings may aid in the preoperative diagnosis of gall-bladder torsion by showing a V-shaped distortion of the extrahepatic bile ducts due to a twisting of the cystic duct. Additionally, a high-intensity signal on T1-weighted images within the gallbladder wall could indicate a possible infarction[3]. Other studies report a "cystic duct knot sign" on ultrasonography and a CT finding of a "whirl sign" in cases reported cases of gallbladder torsion[10].…”

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confidence: 99%

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Necrotizing Gallbladder Torsion Masking as Acalculous Cholecystitis: A Review of Two Cases Treated with Successful Laparoscopic Cholecystectomy

Jung

2022

Soonchunhyang Med Sci

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Gallbladder torsion is a rare disease and it is very difficult to diagnose preoperatively because the signs, symptoms, and image findings are very similar to the other cases of acute cholecystitis. However, in cases of gallbladder torsion, conservative treatments such as intravenous antibiotics and percutaneous cholecystostomy could be ineffective and result in even fatal. Hence, for urgent surgical management, gallbladder torsion must be considered especially in the elderly female patients with radiologic findings such as acalculous cholecystitis and a free-floating gallbladder. The author presents two cases of necrotizing gallbladder torsion in an elderly female patient who was treated successfully with laparoscopic cholecystectomy.

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Preoperative diagnosis of gallbladder torsion by magnetic resonance cholangiopancreatography: A case report

Cited by 5 publications

References 11 publications

Case report: Rare floating gallbladder torsion in a child

Case report: Rare floating gallbladder torsion in a child

Gallbladder Position Anomalies: Clinical Impacts and Management

Necrotizing Gallbladder Torsion Masking as Acalculous Cholecystitis: A Review of Two Cases Treated with Successful Laparoscopic Cholecystectomy

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