Case report: Torsion of the gall-bladder on ultrasound—Differentiation from acalculous cholecystitis

Cameron, Evan Wm.; Beale, Timothy; Pearson, R.H.

doi:10.1016/s0009-9260(05)81142-0

Cited by 21 publications

(11 citation statements)

References 8 publications

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“…Likewise, the absence of bile stones in a gallbladder with signs of cholecystitis can suggest a torsion of the gallbladder since an acalculous cholecystitis is very rare in otherwise healthy patients. A hypo-echogenic zone between the mucosa and serosa of the gallbladder is a sign of venous stasis and hematoma in the gallbladder wall 7. Besides an abnormal location of the gallbladder, a swirl sign of the cystic duct can be seen on CT images.…”

Section: Overview Of the Literaturementioning

confidence: 99%

Torsion of the Gallbladder

Boonstra

Prins

Sieders

et al. 2012

Journal of Gastrointestinal Surgery

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IntroductionA 77-year-old woman was seen with progressive abdominal pain.CasesA CT scan was made and showed a large gallbladder extending into the right lower abdomen. Ultrasound was performed but demonstrated no gallstones. Laparoscopy showed a tordated, necrotic gallbladder that was attached to the liver only by the cystic artery and cystic duct. Cholecystectomy was performed.ConclusionsTorsion of the gallbladder is a rare but clinically important condition in which the diagnosis seldom is made preoperatively. In radiological and clinical signs of cholecystitis without gallstones, this condition should be considered.

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Section: Overview Of the Literaturementioning

confidence: 99%

Torsion of the Gallbladder

Boonstra

Prins

Sieders

et al. 2012

Journal of Gastrointestinal Surgery

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“…Abdominal ultrasonography will normally identify the enlarged gallbladder inferior to its normal anatomical position with a thickened wall, surrounded by free fluid. It can also show a hypoechoic zone between two echoic zones of the gallbladder, suggesting oedema, most probably due to venous and lymphoid stasis 9 16 17. In our case, ultrasonography and colour Doppler imaging played the most important role for confirming the diagnosis.…”

Section: Discussionmentioning

confidence: 51%

Complete acute gallbladder torsion diagnosed with abdominal ultrasonography and colour Doppler imaging

et al. 2013

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An 82-year-old woman was admitted to our hospital with a provisional diagnosis of acute cholecystitis. Abdominal ultrasonography and colour Doppler imaging played the most important role in confirming a diagnosis of gallbladder torsion preoperatively, and we decided to treat it laparoscopically. Operative findings showed that gallbladder was rotated 360° counterclockwise around the cystic duct and artery. This was a complete torsion of a gross type I wandering gallbladder. The patient had an uneventful postoperative course and was discharged. Laparoscopic cholecystectomy has recently been recommended for treating gallbladder torsion. Because the gallbladder is typically minimally adherent to the liver bed, cholecystectomy can be performed easily with minimal invasion. Gallbladder torsion is a relatively rare cause of an acute abdomen and is difficult to diagnose preoperatively, but we could diagnose complete, acute gallbladder torsion preoperatively with ultrasonography and colour Doppler imaging in this case, allowing for safe and completely curative laparoscopic cholecystectomy.

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“…Since that early report, more than 500 cases have been reported in the world literature. [3][4][5][6][7][8][9][10] The clinical incidence of GV has been reported as 1 in 365,520 hospital admissions. 11 Multiple authors have postulated reasons for torsion of the gallbladder.…”

Section: Illustrative Casementioning

confidence: 99%