Huang S C, Chuang J H
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1995 Sep;18(3):297-300.
A 9-year-old girl presented with severe intermittent upper abdominal pain and bilious vomiting for 1 day. Abdominal echography demonstrated severe distension of the gallbladder with marked change in its long axis. Torsion of the gallbladder was suspected preoperatively. Counter-clockwise rotation of the gallbladder around its neck for more than 180 degrees with necrosis of the whole gallbladder was found during the emergency laparotomy. Choleystectomy was performed smoothly after detorsion of the gallbladder. The postoperative recovery was uneventful. Although torsion of the gallbladder is rarely reported in children, we should keep this possibility in mind as a differential diagnosis of acute abdomen.
一名9岁女孩因严重间歇性上腹痛和胆汁性呕吐1天前来就诊。腹部超声检查显示胆囊严重扩张，其长轴有明显变化。术前怀疑胆囊扭转。急诊剖腹手术时发现胆囊围绕其颈部逆时针旋转超过180度，整个胆囊坏死。胆囊扭转复位后顺利进行了胆囊切除术。术后恢复顺利。尽管儿童胆囊扭转很少见报道，但我们应将这种可能性作为急腹症的鉴别诊断予以考虑。
