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Related Concept Videos

Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Related Experiment Video

Updated: May 21, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

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Acute Gallbladder Volvulus in a 93-Year-Old High-Risk Patient: A Case Report.

Olga Bystrova1, Maximilian Brunner2, Axel Schmid3

  • 1Department of Surgery, University Hospital Erlangen, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany.

The American Journal of Case Reports
|April 3, 2026
PubMed
Summary

Gallbladder volvulus is a rare surgical emergency. Early diagnosis and laparoscopic cholecystectomy are crucial to prevent complications, even in elderly patients with comorbidities.

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Area of Science:

  • Gastroenterology
  • Surgical Emergency
  • Abdominal Surgery

Background:

  • Gallbladder volvulus is a rare, life-threatening condition.
  • Preoperative diagnosis is challenging due to non-specific imaging findings.
  • Delayed diagnosis can lead to gallbladder perforation and sepsis.

Purpose of the Study:

  • To report a case of acute gallbladder volvulus in an elderly patient.
  • To highlight diagnostic challenges and successful laparoscopic management.
  • To emphasize the importance of early surgical intervention.

Main Methods:

  • Case report of a 93-year-old woman with misdiagnosed gallbladder volvulus.
  • Interdisciplinary discussion for surgical approach in a patient with aortic valve stenosis.
  • Laparoscopic cholecystectomy with low-pressure pneumoperitoneum.

Main Results:

  • Successful laparoscopic cholecystectomy for a 360° gallbladder torsion.
  • Patient tolerated the procedure well with no intraoperative or postoperative complications.
  • Discharged home in stable condition.

Conclusions:

  • Gallbladder volvulus requires prompt surgical management, preferably laparoscopic.
  • Awareness of risk factors (age, sex, build) aids in early diagnosis.
  • Laparoscopic surgery is feasible in high-risk patients with careful anesthetic management.