Posttraumatic torsion of accessory lobe of the liver and the gallbladder |
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| Authors: | B. Z. Koplewitz David E. Manson Sigmund H. Ein |
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| Affiliation: | (1) Department of Diagnostic Imaging, The Hospital for Sick Children and the University of Toronto, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8, CA;(2) Current adress: Dept. of Radiology, Hadassah Medical Center, P. O. Box 12000, Jerusalem 91120, Israel, IL;(3) Division of General Surgery, The Hospital for Sick Children and the University of Toronto, Ontario, Canada, CA |
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| Abstract: | Torsion of an accessory lobe of the liver and of the gallbladder is a rare etiology for acute abdominal pain in children and infants. We report a case of an 8-year-old girl who was admitted with acute epigastric pain and vomiting, after her brother had jumped on her back. Physical examination revealed an afebrile child with a nontender right upper quadrant (RUQ) mass. Color Doppler ultrasound and contrast-enhanced CT demonstrated a heterogeneous, avascular mass with displacement of a thickened-wall gallbladder. A torted, congested accessory lobe of the liver and the gallbladder were resected at laparotomy. Imaging and operative findings are presented and a differential diagnosis is discussed in order to increase awareness of this rare condition. Received: 24 February 1999 Accepted: 11 May 1999 |
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