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"Hanging" pelvic gallbladder simulating occult hip fracture versus appendicitis.

Davisson KW, Higgins GL, Jung MW - West J Emerg Med (2010)

View Article: PubMed Central - PubMed

Affiliation: University of Vermont College of Medicine, Burlington, VT.

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The patient had an inflamed pelvic gallbladder... Anatomic malposition of organs can result in unusual clinical presentations... Abnormalities in the gallbladder mesentery, including a wide mesentery, absent mesentery or mesentery covering only the cystic duct and artery, can result in a “floating” or “hanging” gallbladder, predisposing it to torsion... Factors associated with this condition include atrophy of the liver, loss of visceral fat and elasticity with aging, weight loss, and kyphosis... Triggering events for torsion include violent peristalsis of neighboring organs, as well as atherosclerosis and tortuosity of the cystic artery. – Torsion is most common in the elderly with a female-to-male ratio of 3:1 and can be incomplete, causing intermittent pain, or complete, with resultant gangrene or rupture... Most patients with torsion have no gallstones... Torsion or inflammation of a hanging pelvic gallbladder should be considered in the differential diagnosis of an elderly, kyphotic female patient with right lower quadrant or pelvic pain.

No MeSH data available.


Pelvic computed tomography showing a distended, elongated gallbladder lying in the inferior right hemi-pelvis.
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f1-wjem-11-215: Pelvic computed tomography showing a distended, elongated gallbladder lying in the inferior right hemi-pelvis.


"Hanging" pelvic gallbladder simulating occult hip fracture versus appendicitis.

Davisson KW, Higgins GL, Jung MW - West J Emerg Med (2010)

Pelvic computed tomography showing a distended, elongated gallbladder lying in the inferior right hemi-pelvis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2908665&req=5

f1-wjem-11-215: Pelvic computed tomography showing a distended, elongated gallbladder lying in the inferior right hemi-pelvis.

View Article: PubMed Central - PubMed

Affiliation: University of Vermont College of Medicine, Burlington, VT.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The patient had an inflamed pelvic gallbladder... Anatomic malposition of organs can result in unusual clinical presentations... Abnormalities in the gallbladder mesentery, including a wide mesentery, absent mesentery or mesentery covering only the cystic duct and artery, can result in a “floating” or “hanging” gallbladder, predisposing it to torsion... Factors associated with this condition include atrophy of the liver, loss of visceral fat and elasticity with aging, weight loss, and kyphosis... Triggering events for torsion include violent peristalsis of neighboring organs, as well as atherosclerosis and tortuosity of the cystic artery. – Torsion is most common in the elderly with a female-to-male ratio of 3:1 and can be incomplete, causing intermittent pain, or complete, with resultant gangrene or rupture... Most patients with torsion have no gallstones... Torsion or inflammation of a hanging pelvic gallbladder should be considered in the differential diagnosis of an elderly, kyphotic female patient with right lower quadrant or pelvic pain.

No MeSH data available.