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Gallbladder volvulus in pediatric age: Case report. | LitMetric

Gallbladder volvulus in pediatric age: Case report.

Int J Surg Case Rep

Surgery Resident, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Electronic address:

Published: June 2024

AI Article Synopsis

  • - Gallbladder volvulus is an uncommon condition that can cause acute abdominal pain, often confused with acute cholecystitis, leading to delays in diagnosis and treatment.
  • - A case involving a 7-year-old boy showed a severely twisted and gangrenous gallbladder requiring surgical removal (cholecystectomy), after which he recovered well.
  • - It's crucial for healthcare providers to keep gallbladder volvulus in mind when diagnosing abdominal pain, as timely identification can prevent serious complications like perforation and bile peritonitis.

Article Abstract

Introduction: Gallbladder volvulus is the rarest form of gall bladder pathology and it is also rare cause of acute abdomen. The exact etiology of gallbladder volvulus is undetermined and mostly mimics acute cholecystitis which delays diagnosis and management of patients.

Case Presentation: In this case report we present 7 years old male child who underwent exploratory laparotomy and intraoperative findings of 360 degree twisted, frankly gangrenous, and perforated at the fundus of the gallbladder. Cholecystectomy was done and the patient had smooth post-operative course and discharged improved.

Clinical Discussion: Gallbladder volvulus is a rare cause of acute abdomen especially in pediatric population and it mostly mimics acute acalculous cholecystitis leading to delayed diagnosis and increased risk of complications such as gallbladder gangrene, perforation, bile peritonitis, morbidity and mortality.

Conclusion: Even though gallbladder volvulus is rare as cause of acute abdomen, one has to consider in the differential diagnosis as high index of suspicion is important for early diagnosis and management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067458PMC
http://dx.doi.org/10.1016/j.ijscr.2024.109664DOI Listing

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