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Gangrenous Cholecystitis From Gallbladder Volvulus With a Hiatal Hernia
Charles W Armistead1, Lauren E Favors1, Vincente A Mejia1
1Department of Surgery, 70274University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.
The American Surgeon
|January 11, 2022
Summary
Gallbladder volvulus, a rare twisting of the gallbladder, presents diagnostic challenges. Prompt surgical intervention is crucial for this condition, often mimicking acute cholecystitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gallbladder volvulus is a rare surgical emergency characterized by gallbladder rotation.
- It compromises biliary drainage and vascular supply, leading to acute symptoms.
Observation:
- An 88-year-old female presented with acute right upper quadrant pain, nausea, and vomiting.
- Imaging revealed a distended gallbladder, wall thickening, and a hiatal hernia, suggesting acute cholecystitis.
Findings:
- Intraoperative findings confirmed gallbladder volvulus after laparoscopic cholecystectomy.
- Diagnosis was challenging preoperatively due to overlapping symptoms with acute cholecystitis.
Implications:
- This case highlights the importance of high clinical suspicion for diagnosing gallbladder volvulus.
- Early surgical intervention is vital for favorable outcomes in gallbladder volvulus cases.
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