Unexpected intraoperative finding of gallbladder torsion.
J Surg Case Rep
; 2021(12): rjab478, 2021 Dec.
Article
en En
| MEDLINE
| ID: mdl-34909163
ABSTRACT
Gallbladder (GB) torsion or volvulus is a rare entity affecting elderly women. Only ~500 cases have been reported in the literature. Incidence is rare seen in ~1 in 365 520. A constant finding is the presence of the GB on a mobile mesentery. Torsion, or volvulus, of the GB occurs when it twists axially, with the subsequent obstruction of bile and/or blood flow. We briefly describe a 75-year-old female patient with acute abdomen and ultrasound and Computed tomography of abdomen revealed a distended GB. On laparotomy, we encountered a twisted GB with gangrene and cholecystectomy was done. GB volvulus is a rare occurrence and clinically mimic's acute cholecystitis and should be sought with high suspicion especially when encountering a thin elderly woman. Immediate diagnosis is prime as delay may be fatal. Even with recent advances in imaging, it is difficult to make a correct preoperative diagnosis of GB torsion.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
J Surg Case Rep
Año:
2021
Tipo del documento:
Article
País de afiliación:
India