Yoshida Rika, Tanaka Shota, Nakamura Tomonori, Murata Anna, Kato Shota, Nagai Hideyuki, Yoshizako Takeshi, Kitajima Kazuhiro, Kaji Yasushi
Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan.
Matsue Seikyo General Hospital, Department of Radiology, 8-8-8, Nishitsuda, Matsueshi, Shimane, 690-8522, Japan.
Radiol Case Rep. 2024 Jul 6;19(9):3999-4002. doi: 10.1016/j.radcr.2024.06.037. eCollection 2024 Sep.
A woman in her 90s presented with loss of appetite, lower back pain, abdominal pain, and fever. Physical examination and subsequent blood tests indicated an inflammatory process, and computed tomography (CT) scans revealed gallbladder torsion with necrosis and abscess formation. The case involved successful management of this rare condition through percutaneous drainage without the need for surgical intervention, avoiding complications during follow-up. Remarkably, post-treatment CT showed complete resolution of the gallbladder abscess and the gallbladder itself was no longer visible. This case highlights the effectiveness of minimally invasive treatment for gallbladder torsion in elderly patients and underscores the potential for non-surgical intervention in managing complex abdominal conditions.
一位90多岁的女性出现食欲不振、下背部疼痛、腹痛和发热症状。体格检查及后续血液检查显示存在炎症过程,计算机断层扫描(CT)显示胆囊扭转伴坏死及脓肿形成。该病例通过经皮引流成功处理了这种罕见情况,无需手术干预,避免了随访期间的并发症。值得注意的是,治疗后的CT显示胆囊脓肿完全消退,胆囊本身也不再可见。该病例突出了老年患者胆囊扭转微创治疗的有效性,并强调了非手术干预在处理复杂腹部疾病方面的潜力。