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Laparoscopic cholecystectomy for gallbladder torsion

D M Schroder1, D A Cusumano

  • 1St. John Hospital, Detroit, Michigan, USA.

Surgical Laparoscopy & Endoscopy
|August 1, 1995
PubMed
Summary

Gallbladder torsion, usually seen in the elderly, occurred in an 18-year-old woman. Laparoscopic surgery for this rare condition involved detorsion before gallbladder removal to prevent bile duct injury.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Gallbladder torsion (volvulus) is a rare surgical emergency, typically affecting elderly patients.
  • Clinical presentation and radiologic findings can be nonspecific, complicating preoperative diagnosis.
  • This case highlights an unusual presentation in a young adult.

Observation:

  • An 18-year-old female presented with symptoms suggestive of acute cholecystitis.
  • Initial diagnostic workup, including imaging, did not definitively identify gallbladder torsion.
  • A high index of clinical suspicion led to surgical exploration.

Findings:

  • The patient was diagnosed with gallbladder torsion, a condition rarely seen in this age group.
  • Laparoscopic cholecystectomy was successfully performed, representing the first reported instance of this minimally invasive approach for gallbladder torsion.
  • Key surgical techniques included gallbladder decompression and detorsion prior to complete removal to safeguard the bile duct.

Implications:

  • This case underscores the importance of considering gallbladder torsion in younger patients with atypical abdominal pain.
  • Laparoscopic management, with careful detorsion, is a feasible and safe option for gallbladder torsion.
  • Early diagnosis and surgical intervention are crucial to prevent complications such as gallbladder gangrene or perforation.

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