Acute and recurrent torsion of the gall-bladder

Ashby, B. S.

doi:10.1002/bjs.1800520307

Cited by 19 publications

(11 citation statements)

References 8 publications

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“…Fewer than a dozen cases have been reported in the literature where a preoperative diagnosis was made. 9,10,12 Ultrasound studies often reveal a large floating gallbladder without gallstones and a thickened gallbladder wall. 9 Although not always a consistent finding, if identified, the "floating" gallbladder should raise suspicions for gallbladder torsion.…”

Section: Discussionmentioning

confidence: 99%

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Gallbladder Volvulus: Report of Two Original Cases and Review of the Literature

Shaikh

Charles

Domingo

et al. 2005

The American Surgeon™

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Gallbladder volvulus is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. It is an unusual and rare occurrence with a predilection for women in their seventh or eight decades of life. Only about 300 cases have been reported in the literature ranging from ages 2 to 100 years old. The etiology of gallbladder volvulus remains speculative; however, the presence of a redundant mesentery is a prerequisite for torsion. Gallbladder volvulus leads to occlusive obstruction of biliary drainage and blood flow. With early diagnosis and surgical intervention, the disease maintains a low mortality of approximately 5 per cent. We present two original cases of acute gallbladder volvulus successfully treated with cholecystectomy, as well as a review of the literature.

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Section: Discussionmentioning

confidence: 99%

“…1 1 A "wandering" gallbladder seen on cholecystogram (a test now obsolete) should strongly raise suspicions for torsion. 12 Hydroxyiminodiacetic acid (HIDA) scans were reported in one study to form a "bull's-eye" configuration from the accumulation of radioactivity in the gallbladder. 13 CT findings are also nonspecific.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Volvulus: Report of Two Original Cases and Review of the Literature

Shaikh

Charles

Domingo

et al. 2005

The American Surgeon™

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“…Suture fixation to the abdominal wall or liver bed after rotating the gallbladder has been reported [1,8], but this procedure is not recommended. Cholecystectomy is generally not difficult because of the lack of fixation to the liver.…”

Section: Discussionmentioning

confidence: 99%

Torsion of the gallbladder

Vosswinkel

Colantonio

1999

Surg Endosc

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Torsion of the gallbladder is an unusual cause of necrosis of the gallbladder. Since its first description a century ago, its diagnosis prior to operative exploration has been extremely elusive. The diagnostic value of current radiological imaging is limited. In the present report, we describe a case of torsion of the gallbladder in which laparoscopy was used successfully to identify and treat this condition without the usual requirement of open exploration. Additionally, the etiology, incidence, clinical presentation, radiologic studies, and treatment of the condition are reviewed.

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“…Two types of volvulus are described: (1) incomplete torsion, usually less than 180°, with gradual onset of symptoms and spontaneous detorsion, and (2) complete torsion, usually exceeding 360°, with a more acute onset and vascular compromise of the twisted gallbladder [8]. The torsion may occur in any direction and can be acute or recurrent [1]. When it occurs, the vascular supply, especially the venous return of the gallbladder is compromised and the cystic duct becomes occluded.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment is immediate cholecystectomy after detorsion [1]. While mortality is reported to be 100% in unoperated cases, it is 3±5% when surgery is done promptly [8].…”

Section: Discussionmentioning

confidence: 99%