A case of gallbladder abscess caused by torsion that completely disappeared following drainage

Rika Yoshida, MD; Shota Tanaka, MD; Tomonori Nakamura, MD; Anna Murata, MD; Shota Kato, MD; Hideyuki Nagai, MD; Takeshi Yoshizako, MD; Kazuhiro Kitajima, MD; Yasushi Kaji, MD

Radiology Case Reports (Sep 2024)

A case of gallbladder abscess caused by torsion that completely disappeared following drainage

Rika Yoshida, MD,
Shota Tanaka, MD,
Tomonori Nakamura, MD,
Anna Murata, MD,
Shota Kato, MD,
Hideyuki Nagai, MD,
Takeshi Yoshizako, MD,
Kazuhiro Kitajima, MD,
Yasushi Kaji, MD

Affiliations

Rika Yoshida, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan; Matsue Seikyo General Hospital, Department of Radiology, 8-8-8, Nishitsuda, Matsueshi, Shimane, 690-8522, Japan; Corresponding author.
Shota Tanaka, MD: Matsue Seikyo General Hospital, Department of Radiology, 8-8-8, Nishitsuda, Matsueshi, Shimane, 690-8522, Japan
Tomonori Nakamura, MD: Matsue Seikyo General Hospital, Department of Radiology, 8-8-8, Nishitsuda, Matsueshi, Shimane, 690-8522, Japan
Anna Murata, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan
Shota Kato, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan
Hideyuki Nagai, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan
Takeshi Yoshizako, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan
Kazuhiro Kitajima, MD: Hyogo Medical University, Department of Radiology, 1-1, Mukogawacho, Nishinomiyashi, Hyogo, 663-8501, Japan
Yasushi Kaji, MD: Shimane University, Faculty of Medicine, Department of Radiology, 89-1, Enyacho, Izumoshi, Shimane, 693-8501, Japan

Journal volume & issue: Vol. 19, no. 9
pp. 3999 – 4002

Abstract

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A woman in her 90s presented with loss of appetite, lower back pain, abdominal pain, and fever. Physical examination and subsequent blood tests indicated an inflammatory process, and computed tomography (CT) scans revealed gallbladder torsion with necrosis and abscess formation. The case involved successful management of this rare condition through percutaneous drainage without the need for surgical intervention, avoiding complications during follow-up. Remarkably, post-treatment CT showed complete resolution of the gallbladder abscess and the gallbladder itself was no longer visible. This case highlights the effectiveness of minimally invasive treatment for gallbladder torsion in elderly patients and underscores the potential for non-surgical intervention in managing complex abdominal conditions.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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