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Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

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Related Experiment Video

Updated: Jun 11, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Gallbladder volvulus in a child with mild clinical presentation.

Seiichiro Inoue1, Akio Odaka, Daijo Hashimoto

  • 1Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan. sei_khsr@saitama-med.ac.jp

Pediatric Radiology
|July 2, 2010
PubMed
Summary

Gallbladder volvulus is a rare pediatric condition. A reconstructed coronal CT scan effectively diagnosed this rare cause of abdominal pain in a child with mild symptoms.

Related Experiment Videos

Last Updated: Jun 11, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Gastroenterology

Background:

  • Gallbladder volvulus is an uncommon surgical emergency in children, often presenting with vague symptoms.
  • Pre-operative diagnosis is challenging due to nonspecific clinical and laboratory findings, frequently leading to diagnosis during laparotomy.
  • Sudden, severe abdominal pain is the typical chief complaint reported in most cases.

Observation:

  • This report details a pediatric case of gallbladder volvulus with atypical mild clinical symptoms and non-specific inflammatory markers.
  • A key diagnostic tool was a reconstructed coronal view of an abdominal computed tomography (CT) scan, which clearly visualized the gallbladder torsion.
  • Magnetic resonance imaging (MRI) has also been suggested as an effective diagnostic modality in recent literature.

Findings:

  • The reconstructed coronal CT view proved crucial for accurate pre-operative diagnosis of gallbladder volvulus in this pediatric patient.
  • Laparoscopic cholecystectomy was successfully performed.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • This case underscores the diagnostic value of specific imaging techniques, particularly reconstructed coronal CT views, for gallbladder volvulus in children.
  • It highlights the possibility of diagnosing gallbladder volvulus even with atypical, mild presentations.
  • Early and accurate diagnosis can facilitate timely surgical intervention, potentially improving patient outcomes.