title: Gallbladder volvulus in a child with mild clinical presentation.
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.
authors.affiliation: Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan. sei_khsr@saitama-med.ac.jp
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Inoue
authors.forename: Akio
authors.initials: A
authors.lastname: Odaka
authors.forename: Daijo
authors.initials: D
authors.lastname: Hashimoto
authors.forename: Masanori
authors.initials: M
authors.lastname: Tamura
authors.forename: Hisato
authors.initials: H
authors.lastname: Osada
mesh_terms: D002648:Child; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D014463:Ultrasonography