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Related Experiment Videos

Floating gallbladder: a questionable prelude to torsion: a case report.

K P Lyons1, S Challa, D Abrahm

  • 1Department of Nuclear Medicine, Hoag Memorial Hospital Presbyterian, Newport Beach, California 92663-6100, USA.

Clinical Nuclear Medicine
|March 4, 2000
PubMed
Summary
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A mobile gallbladder can cause recurrent abdominal pain. Delayed imaging in hepatobiliary scans can reveal a floating gallbladder, aiding diagnosis of intermittent torsion.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging
  • Hepatobiliary System

Background:

  • Recurrent epigastric pain can present diagnostic challenges.
  • Hepatobiliary scintigraphy is crucial for evaluating gallbladder and bile duct function.

Observation:

  • A 55-year-old woman presented with recurrent substernal and epigastric pain.
  • Initial hepatobiliary scan suggested a dilated common bile duct and nonvisualized gallbladder.
  • Delayed imaging after patient repositioning showed a filled gallbladder and normal common bile duct.

Findings:

  • The clinical presentation and scintigraphic findings suggest a mobile or "floating" gallbladder.
  • This condition may predispose the gallbladder to intermittent torsion (volvulus) and spontaneous detorsion.

Related Experiment Videos

  • The observed pattern highlights a potential cause of recurrent biliary colic.

    • Implications:

    • This case underscores the diagnostic value of delayed and positional imaging in hepatobiliary studies.
    • Recognizing the scintigraphic appearance of a mobile gallbladder is key for diagnosing intermittent torsion.
    • Positional imaging (decubitus/oblique views) can be vital in selected cases with unusual findings.