Bouzas Cardaci M, Bivoleanu CV. Gallbladder volvulus, a rare cause of acute abdomen, a case report.
Int J Surg Case Rep 2020;
75:81-84. [PMID:
32919335 PMCID:
PMC7490985 DOI:
10.1016/j.ijscr.2020.09.001]
[Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 09/01/2020] [Accepted: 09/01/2020] [Indexed: 11/26/2022] Open
Abstract
Gallbladder volvulus is a rare life-threatening surgical emergency that requires emergency surgical treatment.
Although recent advances in radiographic studies have helped in the diagnosis of many diseases, radiographic studies remain nonspecific in diagnosing volvulus of the gallbladder.
The performance of urgent laparoscopic surgery would be first option to avoid perforation and peritonitis. With prompt surgical intervention, the condition has an excellent prognosis.
Introduction
The gallbladder volvulus is a rare surgical emergency and its defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Definitive diagnosis is usually made during surgery and a delay in treatment may result in a high mortality due to rupture of gall bladder and bile peritonitis.
Case presentation
We report the case of an 88-year-old woman who presented with an acute torsion of gall bladder, which was treated promptly after admission by laparoscopic cholecystectomy.
Discussion
Acute torsion of gall bladder is a rare disease. Its pathogenesis is not well known but postulated to be multifactorial. Two anatomic variants that predispose to gall bladder torsion have been described. Clinical presentation is not specific, with symptoms and biologic signs that mimic acute cholecystitis.
This condition should be suspected in elderly women with uncertain diagnosis of acute cholecystitis or acute abdominal pain of unknown origin.
Conclusion
Gallbladder volvulus is a rare life-threatening surgical emergency that requires emergency surgical treatment. Out- come is often favorable when early diagnosis and surgery are made.
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