Diagnosis and treatment of gallbladder torsion in a 6 year old

Torsion of the gallbladder in the pediatric population is rare. A nonspecific clinical presentation is characteristic, which frequently contributes to diagnostic uncertainty.

We report a case of gallbladder torsion in a 6-y-old male with abdominal distention and lethargy accompanied by a low-grade leukocytosis. An abdominal computed tomography scan suggested the finding of acute appendicitis suspicious for perforation.

This case highlights the utility of laparoscopic evaluation in the setting of clinical and radiographic diagnostic uncertainty.