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


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Title: Gallbladder torsion showing a "whirl sign" on a multidetector computed tomography scan.
Authors: Tajima, Yoshitsugu / Tsuneoka, Noritsugu / Kuroki, Tamotsu / Kanematsu, Takashi
Issue Date: Jan-2009
Publisher: Elsevier
Citation: American Journal of Surgery, 197 (1), pp.e9-e10; 2009
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.
Keywords: Gallbladder torsion / Multidetector computed tomography scan / Preoperative diagnosis / Whirl sign
URI: http://hdl.handle.net/10069/20852
ISSN: 00029610
DOI: 10.1016/j.amjsurg.2008.01.030
PubMed ID: 18723147
Rights: Copyright (c) 2009 Elsevier Inc. All rights reserved.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20852

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