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Torsion of the gallbladder. A case report
Summary
Gallbladder torsion with gangrene is rare. This case highlights the diagnostic challenges, as symptoms mimicked other abdominal emergencies, necessitating surgical intervention for accurate diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gallbladder torsion is an uncommon surgical emergency.
- It involves the twisting of the cystic duct and artery, leading to ischemia and potential gangrene.
Observation:
- A 75-year-old woman presented with symptoms mimicking intestinal obstruction.
- Initial abdominal radiographs suggested appendicitis and appendicular abscess.
Findings:
- Laparotomy revealed gallbladder torsion with gangrene as the definitive diagnosis.
- Preoperative diagnostic accuracy was significantly limited by atypical presentation.
Implications:
- This case underscores the importance of considering rare diagnoses in the differential for acute abdominal pain.
- Enhanced awareness and advanced imaging may improve preoperative diagnosis of gallbladder torsion.
- Prompt surgical intervention is crucial for managing gallbladder torsion and preventing complications.