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Cholecystitis due to gallbladder volvulus in a child

Christopher Prien1, Olga Ostrovetsky1, Graciela Wetzler2

  • 1Department of Surgery Maimonides Medical Center Brooklyn New York USA.

JPGN Reports
|November 29, 2024
PubMed

Insights

Gallbladder volvulus (GV) is a rare condition where the gallbladder twists. Prompt laparoscopic surgery is crucial for effective treatment in pediatric patients, even with initial misdiagnosis.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Pathology

Background:

  • Gallbladder volvulus (GV) is a rare condition involving gallbladder torsion.
  • It predominantly affects elderly females but can occur in children.
  • Diagnosis is often delayed due to nonspecific symptoms and imaging findings.

Purpose of the Study:

  • To present a pediatric case of gallbladder volvulus.
  • To highlight diagnostic challenges and successful management strategies.

Main Methods:

  • Case report of a pediatric patient with gallbladder volvulus.
  • Initial misdiagnosis as viral-induced acalculous cholecystitis.
  • Successful laparoscopic cholecystectomy.

Main Results:

  • The pediatric patient with gallbladder volvulus was effectively treated with laparoscopic cholecystectomy.
  • The condition was initially misdiagnosed, underscoring diagnostic difficulties.
  • Prompt surgical intervention prevented systemic complications.

Conclusions:

  • Laparoscopic cholecystectomy is a safe and effective treatment for pediatric gallbladder volvulus.
  • Early recognition and surgical management are vital for favorable outcomes.
  • Increased awareness is needed for this rare pediatric surgical emergency.

Keywords:
gallbladder ischemialaparoscopic cholecystectomypediatric cholecystitisviral‐induced acalculous cholecystitis

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