2022
DOI: 10.1177/00031348211054704
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Gangrenous Cholecystitis From Gallbladder Volvulus With a Hiatal Hernia

Abstract: Gallbladder volvulus is a rare condition involving the rotation of the gallbladder about the cystic duct and vascular pedicle, compromising biliary drainage and blood flow. This report describes a case of gallbladder volvulus presenting in an 88-year-old female with acute onset of right upper quadrant abdominal pain, nausea, and vomiting. Complete work-up included a physical exam, laboratory studies, and computed tomography (CT), which was notable for a markedly distended gallbladder with circumferential wall … Show more

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Cited by 3 publications
(4 citation statements)
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“…Our case exhibited only a few similar signs as proposed by Lau, with no evidence of spinal deformity, early emesis, or pulse-temperature discrepancy. Our patient presented with clinical features of acute acalculous cholecystitis preoperatively and was diagnosed gallbladder volvulus intraoperatively, consistent with the literature [ 6 , 7 ].…”
Section: Discussionsupporting
confidence: 88%
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“…Our case exhibited only a few similar signs as proposed by Lau, with no evidence of spinal deformity, early emesis, or pulse-temperature discrepancy. Our patient presented with clinical features of acute acalculous cholecystitis preoperatively and was diagnosed gallbladder volvulus intraoperatively, consistent with the literature [ 6 , 7 ].…”
Section: Discussionsupporting
confidence: 88%
“…Some surgeons prefer to perform open surgery from the beginning due to various reasons [ 6 ], while others attempt to perform laparoscopic surgery and convert to open surgery when necessary. In our case, the patient underwent successful laparoscopic cholecystectomy as in recent studies [ 7 , 20 ].…”
Section: Discussionmentioning
confidence: 75%
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“…Patient presentation is linked to the degree of gallbladder torsion. Patients with incomplete torsion (≤180 degrees of rotation) typically exhibit biliary colic-like symptoms, while those with complete torsion (>180 degrees of rotation) typically present with acute cholecystitis or acute abdomen [4] .…”
Section: Introductionmentioning
confidence: 99%