부산대학교 도서관

An eleven-year-old girl was admitted to our hospital a day after she presented with a history of upper abdominal pain and nausea of sudden onset. Localized tenderness was noted in the right upper quadrant of the abdomen, and the serum levels of inflammatory markers were elevated. Abdominal enhanced CT obtained the day after admission showed gallbladder distension and enhancement of the gallbladder wall. Magnetic resonance cholangiopancreatography revealed distension of the gallbladder but obstruction of the cystic duct. We made the diagnosis of gallbladder torsion and performed emergency laparoscopic cholecystectomy. During the surgery, the gallbladder was found to be ischemic and rotated 360 degrees counterclockwise around the cervical portion as the pivot. She was discharged on day 4 after cholecystectomy without any trouble.We encountered this rare case of gallbladder torsion and report it with a review of published case reports.