Clinical images. Gallbladder torsion showing a "whirl sign" on a multidetector computed tomography scan

American Journal of Surgery
Yoshitsugu TajimaTakashi Kanematsu

Abstract

An 82-year-old woman presented with a 5-day history of right upper quadrant pain. A physical examination showed a palpable tender mass in the right upper quadrant with Murphy's sign. The contrast-enhanced multidetector computed tomography (MDCT) scan clearly showed the twisted pedicle of the cystic duct and gallbladder mesentery on the right side of the gallbladder, thus showing a "whirl sign," and a definitive diagnosis of gallbladder torsion was made. The patient underwent a cholecystectomy, resulting in a favorable outcome. Therefore, the whirl sign on MDCT imaging can be a key to making a definitive diagnosis of gallbladder torsion.

References

Dec 13, 1997·Journal of Pediatric Surgery·H KitagawaN Yamate

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Citations

Dec 22, 2011·Journal of Medical Case Reports·Jorine BoerTammo S de Vries Reilingh
Jan 17, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Meghan G LubnerChristine O Menias
May 21, 2016·Frontiers in Veterinary Science·Scott StokowskiVincent Ziglioli
Oct 18, 2016·Case Reports in Surgery·George YounanKathleen K Christians
Jun 10, 2017·The Journal of Small Animal Practice·M RicciardiR Martino
Jul 31, 2012·Gastroenterology·Takashi KokudoMasanori Teruya
Sep 7, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshihiro MoriwakiToshiyuki Niwano
Jul 2, 2020·World Journal of Clinical Cases·Jia-Sui ChaiYan-Bing Cao

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