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Laparoscopic derotation and cholecystectomy for torsion gallbladder
Prasanna Kumar Reddy1, M Muralidharan, R Venkatasubramanian
1Department of Gastrointestinal Surgery, Apollo Hospitals, Chennai, India. reddypk@eth.net
Summary
Gallbladder torsion, a rare cause of gangrenous cholecystitis, is difficult to diagnose preoperatively. This case highlights successful laparoscopic derotation and cholecystectomy for this condition.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Gallbladder torsion is an uncommon cause of acute cholecystitis.
- Preoperative diagnosis is challenging despite advanced imaging techniques.
Observation:
- A 76-year-old female presented with symptoms suggestive of acute cholecystitis.
- Radiological imaging did not definitively identify gallbladder torsion.
Findings:
- The patient underwent laparoscopic surgery, revealing gallbladder torsion.
- Successful laparoscopic derotation and cholecystectomy were performed.
Implications:
- This case underscores the importance of considering gallbladder torsion in atypical presentations of cholecystitis.
- Laparoscopic management offers a viable treatment option for gallbladder torsion.