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  • Title: Posttraumatic torsion of accessory lobe of the liver and the gallbladder.
    Author: Koplewitz BZ, Manson DE, Ein SH.
    Journal: Pediatr Radiol; 1999 Nov; 29(11):799-802. PubMed ID: 10552054.
    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 contorted, 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.
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