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

Takahiro Koyanagi¹, Kaoru Sato

¹Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1, Yakushiji, Shimotsuke-shi, Tochigi Pref,, 329-0431, Japan. koyataka@snow.plala.or.jp.

Journal of Medical Case Reports

|September 13, 2012

Summary

Gallbladder torsion is a rare surgical emergency. Sequential computed tomography scans aided in the diagnosis of this condition in an elderly woman, enabling prompt surgical intervention and recovery.

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Area of Science:

Gastroenterology
Abdominal Surgery
Diagnostic Imaging

Background:

Gallbladder torsion is an exceedingly rare cause of acute abdomen, primarily affecting elderly, thin women.
Prompt surgical intervention is crucial to prevent severe complications such as gallbladder gangrene and perforation.
Preoperative diagnosis is challenging with conventional imaging techniques.

Purpose of the Study:

To highlight the diagnostic utility of sequential imaging in a case of gallbladder torsion.
To emphasize the importance of timely diagnosis and surgical management for gallbladder torsion.

Main Methods:

A case presentation of an 84-year-old woman with acute abdomen.
Utilized serial computed tomography (CT) scans for diagnosis.
Performed emergency surgery involving detorsion and cholecystectomy.

Main Results:

Initial presentation with left lower abdominal pain that migrated to the right upper quadrant.
Serial CT scans revealed gallbladder torsion with approximately 180-degree rotation.
Successful surgical detorsion and cholecystectomy resulted in uneventful recovery.
Histopathological examination confirmed gallbladder necrosis due to torsion.

Conclusions:

Sequential diagnostic imaging, particularly CT, can be instrumental in diagnosing gallbladder torsion.
This approach is valuable when clinical symptoms are atypical but gallbladder enlargement and wall thickening are present.
Early diagnosis and surgical treatment are key to favorable outcomes in gallbladder torsion.