儿童胆囊扭转所致胆囊炎。

JPGN reports Pub Date : 2024-08-30 eCollection Date: 2024-11-01 DOI:10.1002/jpr3.12120
Christopher Prien, Olga Ostrovetsky, Graciela Wetzler, Kyle Glithero, Daniel Hechtman, Lynn Model
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引用次数: 0

摘要

胆囊扭转(GV)涉及胆囊沿其轴旋转,导致扭转。这种病理是罕见的,更常见于老年女性,但偶尔可以发生在儿科患者。由于通常不典型的症状,影像学和实验室结果通常是非特异性的,诊断是具有挑战性的。当怀疑GV时,及时手术干预是必要的,以防止重大的全身性疾病。腹腔镜胆囊切除术已被证明是安全有效的儿科病例。在本报告中,我们报告了一例小儿GV,最初误诊为病毒诱导的无结石性胆囊炎,并通过腹腔镜胆囊切除术有效地治疗。
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Cholecystitis due to gallbladder volvulus in a child.

Gallbladder volvulus (GV) involves the rotation of the gallbladder along its axis, resulting in torsion. This pathology is rare, more commonly found in elderly females, but can occasionally occur in pediatric patients. Diagnosis is challenging due to often atypical symptoms, with imaging and laboratory findings typically nonspecific. Prompt surgical intervention is necessary when GV is suspected to prevent significant systemic illness. Laparoscopic cholecystectomy has proven to be safe and effective in pediatric cases. In this report, we present a pediatric case of GV, initially misdiagnosed as viral-induced acalculous cholecystitis, which was effectively managed using laparoscopic cholecystectomy.

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