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13세 남자의 작은 그물막에 의한 부유 담낭 조임 1례

A 13-year-old boy with strangulation of the floating gallbladder by the lesser omentum

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초록

The selection of imaging modality is important in emergency departments because symptoms in children are usually unclear. In children with abdominal pain, differential diagnosis ranges from common diseases to rare entities requiring surgical therapy. Unremarkable findings on routine investigation, such as laboratory tests and plain radiographs, cannot rule out the surgical entities. Close observation and, if needed, further imaging tests are necessary in emergency departments or even in wards for children with recurrent or worsening abdominal pain. We report a rare case of a 13-year-old boy with strangulation of the floating gallbladder by the lesser omentum. This article features the imaging findings of the rare surgical entity.

Abstract

The selection of imaging modality is important in emergency departments because symptoms in children are usually unclear. In children with abdominal pain, differential diagnosis ranges from common diseases to rare entities requiring surgical therapy. Unremarkable findings on routine investigation, such as laboratory tests and plain radiographs, cannot rule out the surgical entities. Close observation and, if needed, further imaging tests are necessary in emergency departments or even in wards for children with recurrent or worsening abdominal pain. We report a rare case of a 13-year-old boy with strangulation of the floating gallbladder by the lesser omentum. This article features the imaging findings of the rare surgical entity.

참고문헌 (10)

  1. Kim WS, "Strangulation of the floating gallbladder by the lesser omentum", Soonchunhyang Med Sci, 26, pp.91~94 (2020)
  2. Juliusson G, "Diagnostic imaging trends in the emergency department : an extensive single-center experience", Acta Radiol Open, 8, pp.2058460119860404~ (2019)
  3. 최준일, "한국의 영상검사 증가 현상에 대한 전망", 대한의사협회지, 63(3), pp.136~139 (2020), 대한의사협회
  4. Miyakura Y, "Floating gallbladder strangulation caused by the lesser omentum : report of a case", Surg Today, 42, pp.693~696 (2012)
  5. Ueo T, "Acute cholecystitis due to strangulation of a floating gallbladder by the lesser omentum", Abdom Imaging, 32, pp.348~350 (2007)
  6. Kohga A, "Strangulated gallbladder caused by a tip of the omentum attached to the abdominal wall : a case report", J Surg Case Rep, 2017, pp.rjx126~ (2017)
  7. Morales AM, "Wandering gallbladder", Am J Surg, 196, pp.240~241 (2008)
  8. Pu TW, "Complete body-neck torsion of the gallbladder : a case report", World J Gastroenterol, 20, pp.14068~14072 (2014)
  9. Boonstra EA, "Torsion of the gallbladder", J Gastrointest Surg, 16, pp.882~884 (2012)
  10. Chen L, "Novel applications of ultrasound in pediatric emergency medicine", Pediatr Emerg Care, 23, pp.115~123 (2007)

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