Diagnosis and treatment of gallbladder torsion in a 6 year old.
BACKGROUND
Torsion of the gallbladder in the pediatric population is rare. A nonspecific clinical presentation is characteristic, which frequently contributes to diagnostic uncertainty.


METHODS
We report a case of gallbladder torsion in a 6-y-old male with abdominal distention and lethargy accompanied by a low-grade leukocytosis. An abdominal computed tomography scan suggested the finding of acute appendicitis suspicious for perforation.


CONCLUSIONS
This case highlights the utility of laparoscopic evaluation in the setting of clinical and radiographic diagnostic uncertainty.
Department of Physician Assistant Studies, SUNY Upstate Medical University, Syracuse, NY, USA.
Trevor C
TC
Farnsworth
Carl A
CA
Weiss
D015746:Abdominal Pain / Q000209:etiology; D001064:Appendicitis / Q000000981:diagnostic imaging; D002648:Child; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000098:blood supply; D005705:Gallbladder Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000628:therapy; D010535:Laparoscopy; D007964:Leukocytosis / Q000150:complications; D008297:Male; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*