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Related Concept Videos

Gallbladder01:17

Gallbladder

3.2K
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
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Cholecystitis01:20

Cholecystitis

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Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis01:19

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
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Updated: Apr 27, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

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Gallbladder torsion: a diagnostic challenge.

Sharon Gabizon1, Kimberley Bradshaw1, Eshwarshanker Jeyarajan1

  • 1Department of Surgery, Robina Hospital, 2 Bayberry Lane, Robina, QLD 4226, Australia.

Case Reports in Surgery
|June 21, 2014
PubMed
Summary

Gallbladder torsion is a rare cause of acute cholecystitis. This condition, involving gallbladder twisting, requires consideration in differential diagnoses, especially when clinical and imaging findings are inconsistent.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute cholecystitis is commonly caused by gallstones.
  • Gallbladder torsion is an uncommon cause of acute cholecystitis, with fewer than 500 reported cases.
  • Clinical presentation can mimic typical acute cholecystitis.

Purpose of the Study:

  • To highlight gallbladder torsion as a rare cause of acute cholecystitis.
  • To emphasize the importance of including gallbladder torsion in the differential diagnosis.
  • To discuss the utility of 3D reconstructed CT in preoperative diagnosis.

Main Methods:

  • Case presentation of an 80-year-old female with acute cholecystitis.
  • Intraoperative findings of gallbladder torsion (270 degrees clockwise rotation).
  • Review of literature regarding gallbladder torsion and acute cholecystitis.

Main Results:

  • Intraoperative diagnosis of gallbladder torsion confirmed.
  • Gallbladder exhibited gangrenous changes due to torsion.
  • Literature search revealed the rarity of this condition.

Conclusions:

  • Gallbladder torsion should be considered in patients with suspected acute cholecystitis, particularly when clinical and imaging data are discordant.
  • Three-dimensional reconstructed CT may aid in the preoperative diagnosis of gallbladder torsion.
  • Early recognition and surgical intervention are crucial for managing gallbladder torsion.