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Acute torsion of the gallbladder
J R McGregor1, M Akyol, S G Macpherson
1Department of Surgery, Western Infirmary, Glasgow.
Scottish Medical Journal
|June 1, 1988
Summary
Acute gallbladder torsion is a surgical emergency, increasingly seen in older adults. This case highlights successful emergency cholecystectomy in a 98-year-old patient, demonstrating effective management of this rare condition.
Area of Science:
- Surgical Gastroenterology
- Geriatric Medicine
- Emergency Medicine
Background:
- Acute gallbladder torsion is a rare surgical emergency.
- The incidence may increase with an aging global population.
- Early diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A 98-year-old patient presented with unexplained peritonism.
- Diagnosis of acute gallbladder torsion was established during exploratory laparotomy.
- The patient had a history of multiple comorbidities.
Findings:
- Emergency cholecystectomy was performed successfully.
- The patient experienced an uncomplicated post-operative recovery.
- Histopathological examination confirmed gallbladder torsion.
Implications:
- This case underscores the importance of considering gallbladder torsion in elderly patients with acute abdominal symptoms.
- Prompt surgical management, such as cholecystectomy, can lead to successful outcomes even in nonagenarians.
- Highlights the need for heightened clinical suspicion and timely surgical intervention in geriatric surgical emergencies.