Acute gallbladder volvulus: Laparoscopic treatment in an infant

Abstract

Introduction: Gallbladder volvulus is a rare and difficult to diagnose pediatric entity, its delayed treatment leads to complications. A 9 months old male case solved by laparoscopy is reported. Case report: Twelve hours of development with irritability, vomiting and fever. Painful abdomen, leukocytosis and ultrasound with perivesicular fluid. Computed tomography revealed cystic bending, increased density and reinforcement of contrast medium. Gallbladder was found volvulated and necrotized by laparoscopy. Discussion: It is a very rare disease. A 9 months old baby was reported in whom a minimally invasive approach allowed diagnosis and safe treatment.