Open AccessVolvulus of the gall bladder diagnosed by ultrasonography, computed tomography, coronal magnetic resonance imaging and magnetic resonance cholangio-pancreatography
Author(s) -
Nobuhisa Matsuhashi,
Shinichi Satake,
Kazunori Yawata,
Eri Asakawa,
T. Mizoguchi,
Masayuki Kanematsu,
Hiroshi Kondo,
Ichiro Yasuda,
Kenichi aka,
Chihiro Tanaka,
Atsushi Misao,
Shinji Ogura
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i28.4599
Subject(s) - medicine , magnetic resonance imaging , coronal plane , gallbladder , radiology , magnetic resonance cholangiopancreatography , abdomen , physical examination , abdominal ultrasonography , gallbladder stone , ultrasonography , pancreatitis , surgery , endoscopic retrograde cholangiopancreatography
A 54-year-old woman was admitted to our hospital with the complaint of right upper quadrant pain. Upon physical examination the vital signs of the patient were within normal ranges. Ultrasonography and computed tomography (CT) examination of the abdomen was obtained, which demonstrated a large dilatated cystic structure, measuring approximately 68.6 mm multiply 48.6 mm, with marked distension and inflammation. Additionally, the enhanced CT was characterized by the non-enhanced wall of the gallbladder. As the third examination in this study, magnetic resonance imaging (MRI), namely coronal MRI and magnetic resonance cholangio-pancreatogra (MRCP), were performed. The MRCP demonstrated a dilatation of the gallbladder but detected no neck of the gallbladder. Simple cholecystectomy was performed. Macroscopic findings included a distended and gangrenous gallbladder, and closer examination revealed a counterclockwise torsion of 360 degrees on the gallbladder mesentery. Coronal MRI and MRCP showing characteristic radiography may be useful in making a definitive diagnosis.