A Case of Gallbladder Torsion Diagnosed Preoperatively by MRCP

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  • Kitada Tomohiro
    Department of Pediatric Surgery, Yodogawa Christian Hospital Department of Pediatric Surgery, Izumiotsu Municipal Hospital
  • Harumoto Ken
    Department of Pediatric Surgery, Yodogawa Christian Hospital
  • Takamatsu Yuko
    Department of Pediatric Surgery, Yodogawa Christian Hospital
  • Yamamoto Miki
    Department of Pediatric Surgery, Yodogawa Christian Hospital

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Other Title
  • MRCPが診断および手術に有用であった小児胆囊捻転症の1例
  • MRCP ガ シンダン オヨビ シュジュツ ニ ユウヨウ デ アッタ ショウニ タンノウ ネンテンショウ ノ 1レイ

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Abstract

<p>We report the surgical case of a seven-year-old boy with no significant medical history, who presented with abdominal pain, nausea, and melena, and initially diagnosed as having acute gastroenteritis. As his abdominal pain worsened after every meal, he was diagnosed as having acute cholecystitis by CT and referred to our hospital. His laboratory data were within normal limits, including liver enzyme levels, WBC, and CRP level. US and enhanced CT showed a thickened gallbladder wall. A preoperative diagnosis of gallbladder torsion was made on the basis of magnetic resonance cholangiopancreatography (MRCP) findings, and thus, we performed cholecystectomy. Anticlockwise 360° rotation of the gallbladder was seen during the operation as also shown by MRCP. Gallbladder torsion is a rare acute abdominal condition that requires surgery and is difficult to diagnose. However, MRCP has been used successfully to diagnose gallbladder torsion.</p>

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