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[Gallbladder torsion: report of a case]
Anales De Medicina Interna (Madrid, Spain : 1984)
|March 1, 1989
Summary
Gallbladder torsion is a rare cause of acute abdomen in the elderly. This case highlights the importance of considering gallbladder torsion in elderly patients presenting with abdominal pain and fever.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Acute abdomen in the elderly presents diagnostic challenges.
- Gallbladder diseases are common, but torsion is exceptionally rare.
Observation:
- An 81-year-old woman presented with fever, abdominal pain, and an epigastric mass.
- Initial diagnosis suggested acute cholecystitis and gallbladder hydrops.
Findings:
- Surgical findings revealed a dilated, necrotic gallbladder with >180-degree torsion of the cystic duct.
- The gallbladder lacked a typical hepatic bed and was encased in omentum.
Implications:
- Gallbladder torsion should be included in the differential diagnosis for acute abdominal conditions in the elderly.
- Early recognition and surgical intervention are crucial for favorable outcomes in this rare condition.