Gallbladder torsion: case report

Area of Science:

• Gastroenterology
• Radiology
• Surgical Pathology

Background:

• Gallbladder (GB) torsion is an uncommon cause of acute abdominal pain requiring surgical intervention.
• Preoperative diagnosis of GB torsion remains challenging despite advancements in medical imaging.
• Cholecystectomy is the definitive treatment for GB torsion.

Observation:

• This report details a case of GB torsion, emphasizing a retrospective analysis of radiologic findings.
• Imaging modalities reviewed include magnetic resonance imaging (MRI), computed tomography (CT), and ultrasonography.
• Radiologic findings were correlated with histopathologic results from the surgical specimen.

Findings:

• The radiologic findings in this case proved valuable for preoperative diagnosis of GB torsion.
• Specific characteristic MRI findings associated with GB torsion are postulated.
• Discrepancies in evaluating the GB wall across different imaging techniques were observed.

Implications:

• Accurate preoperative diagnosis of GB torsion can be achieved through careful interpretation of radiologic findings.
• Characteristic MRI features may improve diagnostic accuracy for GB torsion.
• Understanding imaging discrepancies is crucial for surgical planning and patient management.