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Gallbladder Volvulus: An Uncommon Twist in Biliary Pathology
Xinlin Chin1,2, Jessica Y Ng3,4
1Surgery, Sunshine Coast University Hospital, Birtinya, AUS.
Cureus
|January 20, 2022
Summary
Gallbladder volvulus (GBV), a rare condition mimicking acute cholecystitis, involves gallbladder twisting. Early diagnosis and surgical intervention are crucial for preventing severe complications.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Gallbladder volvulus (GBV) is an exceptionally rare surgical emergency.
- It presents clinically similarly to acute cholecystitis, posing diagnostic challenges.
Observation:
- A 92-year-old female presented with acute, severe right upper quadrant abdominal pain.
- Physical examination revealed a palpable mass; labs showed elevated white blood cell count and liver enzymes.
Findings:
- CT abdomen demonstrated a thickened gallbladder with cystic duct obstruction, indicative of GBV.
- Laparoscopic cholecystectomy confirmed a distended, gangrenous gallbladder twisted on the hepatocystic ligament.
Implications:
- This case highlights the diagnostic utility of CT imaging in identifying GBV.
- Prompt surgical management is essential to avert potentially life-threatening outcomes in gallbladder volvulus.
Keywords:
cholecystitiscystic ductgall bladder diseasesgallbladder torsiongallbladder volvulushepatocystic ligamentlaparoscopic cholecystectomyMore Related Videos
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