Case report: Rare floating gallbladder torsion in a child.

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Biliary Emergencies

Background:

• Gallbladder torsion (GT) is a rare but serious biliary emergency.
• It involves the twisting of the gallbladder on its mesentery, potentially compromising blood supply.

Observation:

• A 6-year-old girl presented with acute abdominal pain and vomiting.
• Physical examination revealed a palpable abdominal mass; initial lab tests were unremarkable.
• Imaging studies including ultrasound and CT suggested a benign lesion.

Findings:

• Magnetic resonance cholangiopancreatography (MRCP) and subsequent laparoscopic exploration confirmed floating gallbladder torsion.
• The diagnosis was challenging due to the rarity and atypical presentation in a child.

Implications:

• Early diagnosis and surgical intervention, such as laparoscopic cholecystectomy, are crucial for favorable outcomes in pediatric GT.
• This case highlights the importance of considering rare diagnoses in pediatric abdominal emergencies.