Volvulus of the gallbladder: laparoscopic detorsion and removal

Kim, S. Y.; Moore, John T.

doi:10.1007/s00464-002-4521-x

Cited by 8 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We chose open cholecystectomy in the present case because we could not completely exclude the possibility of bile duct malignancy (painless gallbladder swelling and wall thickening in an elderly patient). However, the effectiveness of laparoscopic cholecystectomy has also been reported [10]. Because adhesion between the gallbladder and the adjacent organs is usually mild, which may facilitate gallbladder torsion, it is relatively easy to dissect the gallbladder from the liver bed and to cut the cystic duct and cystic artery.…”

Section: Discussionmentioning

confidence: 99%

Complete gallbladder torsion diagnosed with sequential computed tomography scans: a case report

Koyanagi

Sato²

2012

J Med Case Reports

View full text Add to dashboard Cite

IntroductionTorsion of the gallbladder is an extremely rare cause of acute abdomen, which commonly affects thin elderly women. A prompt surgical approach is necessary to avoid fatal complications associated with gangrene and perforation of the gallbladder. However, it is difficult to make a preoperative diagnosis using ordinary imaging modalities.Case presentationAn 84-year-old Japanese woman was admitted to our hospital due to left lower abdominal pain. Her pain shifted suddenly to the right upper abdomen a half day after admission. Although her enlarged and wall-thickened gallbladder had been already seen at admission, it rotated approximately 180 degrees and deviated to the midline of her abdomen on the second computed tomography scan, which helped us to make a correct diagnosis of gallbladder torsion. The patient underwent an emergency operation (detorsion and cholecystectomy) and recovered without any complications. The gallbladder had necrosis due to torsion.ConclusionSequential diagnostic imaging might be helpful to make a preoperative diagnosis of gallbladder torsion when the gallbladder is enlarged and wall thickened but the patient does not present with typical clinical symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Complete gallbladder torsion diagnosed with sequential computed tomography scans: a case report

Koyanagi

Sato²

2012

J Med Case Reports

View full text Add to dashboard Cite

show abstract

“…The GT should be treated with emergent cholecystectomy (10), and emergent intervention is necessary to prevent the deadly result of missed gallbladder volvulus. Surgery and cholecystectomy are emergent (6); however, the treatment can also be performed by laparoscopy (12). Here, we report a case of GT in an elderly male.…”

Section: Introductionmentioning

confidence: 99%

Gallbladder torsion: A case report

Najmadini

Rezaei

2020

jsurgery

View full text Add to dashboard Cite

Volvulus of the gallbladder or gallbladder torsion (GT), is a condition in which an organ twists along its long axis leading to the vascular source compromise. The GT was first diagnosed in 1898 as a rare cause of idiopathic cholecystitis. Some 500 cases have been reported ever since, and they account for 0.1% in acute cholecystitis cases. An 85-year-old male patient presented with epigastric abdominal pain that was referred to as the upper abdominal quadrant (UAQ). The pain did not radiate elsewhere but was constant and severe. Moreover, it did not change with eating; nonetheless, the patient had anorexia, nausea, and biliary vomiting that occur two times. Fever and chills, weight loss, and icterus were not observed. According to the ultrasound report, flat cholecystitiswas diagnosed, and the patient underwent cholecystectomy. During the operation, GT was confirmed. Diagnosis of GT in elderly patients without symptoms of acute abdomen and cholecystitis should be considered in differential diagnosis to prevent complications and mortality.

show abstract