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[Gallbladder torsion. A case report]
1Divisione di Chirurgia Generale, USSL n. 30, Ospedale Maggiore, Chieri, Torino.
Minerva Chirurgica
|February 12, 1998
Summary
Torsion of an enlarged gallbladder can mimic acute cholecystitis. Prompt surgical intervention is crucial for this rare condition, preventing necrosis and perforation.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- The gallbladder's mesenteric suspension predisposes it to torsion.
- Gallbladder torsion is a rare but serious condition.
Observation:
- A 78-year-old woman presented with symptoms mimicking severe acute cholecystitis.
- Clinical signs included sudden abdominal pain and a palpable right upper quadrant mass.
Findings:
- Laparotomy revealed gallbladder torsion.
- Detorsion and cholecystectomy were successfully performed.
Implications:
- Consider gallbladder torsion in elderly patients with acute abdominal pain and a palpable mass.
- Timely surgical intervention is vital to avoid complications like necrosis and perforation.