Gallbladder volvulus misdiagnosed as acute acalculous cholecystitis: A case report
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View abstract on PubMed
Summary
This summary is machine-generated.Gallbladder volvulus is a rare surgical condition that mimics acute acalculous cholecystitis. Prompt diagnosis and laparoscopic cholecystectomy are crucial for favorable outcomes in patients with gallbladder volvulus.
Area Of Science
- Surgical pathology
- Gastroenterology
- Abdominal imaging
Background
- Gallbladder volvulus is a rare surgical emergency with symptoms mimicking acute acalculous cholecystitis.
- Delayed diagnosis and treatment of gallbladder volvulus are associated with significant morbidity and mortality.
Observation
- A 62-year-old male presented with right upper quadrant pain, initially diagnosed with acute acalculous cholecystitis.
- Despite antibiotic treatment, the patient's condition did not improve, necessitating laparoscopic cholecystectomy.
- Intraoperative findings confirmed gallbladder volvulus, with an uneventful postoperative recovery.
Findings
- Gallbladder volvulus can arise from congenital anomalies, such as an elongated mesentery leading to a mobile gallbladder.
- Clinical presentation often lacks specificity, closely resembling acute acalculous cholecystitis.
- Immediate surgical intervention is paramount once gallbladder volvulus is diagnosed.
Implications
- Gallbladder volvulus should be considered in the differential diagnosis of acute acalculous cholecystitis, particularly in elderly, thin individuals unresponsive to antibiotics.
- Cholecystectomy, preferably laparoscopic, is the definitive treatment for gallbladder volvulus.
- Early recognition and surgical management are key to preventing severe complications.
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