Torsion of the gallbladder in a child treated with laparoscopic surgery—a case report—

Abstract

A 10-year-old boy was admitted due to epigastric pain and vomiting. He had a history of recurrent abdominal pain ; malposition of the gallbladder had been noted on abdominal ultrasonography. Abdominal ultrasonography and CT done on admission showed that the gallbladder was deviated medially, and that its wall was thickened. MRCP failed to show apparent obstruction of the cystic duct. However, torsion of the gallbladder could not be ruled out. Thus, a laparoscopic examination was done. The gallbladder was twisted counterclockwise, 270 degrees, around the cystic duct ; torsion of the gallbladder was diagnosed. The gallbladder was untwisted, and a laparoscopic cholecystectomy was done. Laparoscopic cholecystectomy is useful in such patients, though the surgery must be done with caution.