A Case of Gallbladder Torsion in a 7-year-old Boy Diagnosed by Abdominal Ulttrasound and Magnetic Resonance Cholangiopancreatography

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  • 腹部超音波およびMRCPが診断に有用であった7歳男児胆囊捻転症の1例
  • フクブ チョウオンパ オヨビ MRCP ガ シンダン ニ ユウヨウ デ アッタ 7サイ ダンジ タンノウ ネンテンショウ ノ 1レイ

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Abstract

<p>A 7-year-old boy with an unremarkable medical history presented to our hospital after having developed right abdominal pain the previous day. Computed tomography showed enlargement and thickening of the gallbladder wall, and he was admitted with a diagnosis of acute cholecystitis. Treatment with cefmetazole sodium was started, but there was no improvement in either the abdominal findings or the inflammatory reaction. Abdominal ultrasound conducted on postadmission Day 3 showed severe thickening of the wall of the neck of the gallbladder, and on magnetic resonance cholangiopancreatography (MRCP) , there were signs of hemorrhagic changes and stenosis in this region. Gallbladder torsion was therefore diagnosed, and laparoscopic cholecystectomy was carried out on the same day. Oral intake was started from postoperative Day 2, and on postoperative Day 6, the patient was discharged without complications. Gallbladder torsion is a comparatively rare condition in children, and abdominal ultrasound and MRCP were helpful in the diagnosis of the present case. This case is reported together with a short discussion of the literature.</p>

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