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Gallbladder volvulus:  a case report.

Phillip Croce1,2, Samuel Licata3

  • 1Department of General Surgery, Trinity Health System, Trinity West, Steubenville, OH, USA. pcroce1@yahoo.com.

Journal of Medical Case Reports
|October 9, 2021
PubMed
Summary
This summary is machine-generated.

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Gallbladder volvulus, a rare condition, involves the gallbladder twisting on its blood supply. This case highlights a typical presentation in an elderly female, emphasizing the need for clinical awareness.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Gallbladder volvulus is a rare condition, first described in 1898.
  • Etiology remains unclear, but lack of liver adhesions may predispose older females to gallbladder twisting around the cystic duct.

Observation:

  • An 81-year-old female presented with acute right upper quadrant pain and elevated leukocytes.
  • Imaging revealed a distended gallbladder, thickened wall, and dilated common bile duct.
  • Laparoscopic surgery confirmed a gangrenous gallbladder twisted clockwise around the cystic duct, with no liver adhesions.

Findings:

  • The case demonstrates a classic presentation of gallbladder volvulus in an elderly female.
  • Surgical findings confirmed gallbladder infarction due to torsion.
Keywords:
Acute cholecystitisCase reportGallbladder torsionGallbladder volvulusGangrenous cholecystitis

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Implications:

  • Further case studies are crucial for refining clinical evaluation of suspected gallbladder volvulus.
  • Increased awareness can aid in prompt diagnosis and surgical management of this rare pathology.