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Gallbladder Volvulus Presenting as Acute Appendicitis
Neal Shah1, Eric Ballecer2, Iman Hanna3
1Department of Internal Medicine, New York University (NYU) Langone Hospital-Long Island, Mineola, USA.
Cureus
|May 19, 2021
Summary
Gallbladder volvulus, a rare condition, was diagnosed in an elderly woman presenting with abdominal pain. Early surgical intervention is crucial due to severe potential complications.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Imaging
Background:
- Gallbladder volvulus is an uncommon surgical emergency.
- It often presents with non-specific symptoms, complicating diagnosis.
- Prompt recognition is vital to prevent severe morbidity.
Observation:
- An elderly female presented with right lower quadrant pain, initially mimicking appendicitis.
- Imaging was inconclusive, but worsening sepsis prompted exploratory laparotomy.
- A necrotic gallbladder was identified and removed, confirming volvulus.
Findings:
- The case highlights diagnostic challenges in gallbladder volvulus.
- The patient's presentation was unique, differing from typical appendicitis.
- Systematic literature review confirmed diagnostic difficulties and rarity.
Implications:
- Clinicians should maintain a high suspicion for gallbladder volvulus in elderly women with acute abdominal pain.
- Gallbladder volvulus must be considered in the differential diagnosis.
- Timely diagnosis and surgical management are essential to avoid severe complications.
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