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Takasaka, Yoshihiro

doi:10.4030/jjcs.35.637

JJCS

2010

DOI: 10.4030/jjcs.35.637

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Yoshihiro Takasaka¹

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Cited by 2 publications

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Two Cases of Gallbladder Torsion in Elderly Patients Treated by Laparoscopic Cholecystectomy

Kubo

Maeyama

Ueki

et al. 2018

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Case 1 was a 91-year-old woman who was admitted to the hospital complaining of progressively worsening abdominal pain. The laboratory data showed evidence of slight inflammation. Abdominal CT showed a very swollen and edematous gallbladder, which was non-enhancing. A diagnosis of cholecystitis was made and laparoscopic cholecystectomy was performed. Intraoperatively, a floating gallbladder was recognized, with the gallbladder twisted 360 degrees anticlockwise along its longitudinal axis. Case 2 was a 93-year-old woman who was admitted to the hospital complaining of upper abdominal and back pain. The laboratory data revealed evidence of slight inflammation. Abdominal CT showed a swollen and edematous gallbladder, which was non-enhancing. The patient was diagnosed as having gallbladder torsion, and laparoscopic cholecystectomy was performed. The gallbladder was found to be twisted 540 degrees clockwise along its longitudinal axis. Surgery in the elderly is associated with a high frequency of preoperative comorbidities and a high risk of postoperative complications, and can be fatal. Early diagnosis and early laparoscopic cholecystectomy are important for successful treatment of gallbladder torsion.

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Two Cases of Gallbladder Torsion in Elderly Patients Treated by Laparoscopic Cholecystectomy

Kubo

Maeyama

Ueki

et al. 2018

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Floating Gallbladder that was Twisted and Strangulated Around a Violin String-like Adhesion in a Case of Fitz-Hugh-Curtis Syndrome: Report of a Case

Ueda

Shimoda

2021

JJCS

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Abdominal imaging examinations showed marked swelling of the fundus and body of the gallbladder, with wall thickening. The cystic duct was found to be tapering and distorted to the right. The condition was diagnosed as torsion of the gallbladder.The patient was referred for surgical treatment. Laparoscopy revealed several stringy adhesions between the anterior surface of the liver and the right diaphragm. The floating gallbladder was twisted clockwise around the one of the strings and strangulated. Cholecystectomy was performed. Microscopic examination revealed marked edema of the wall of the fundus and body of the gallbladder.There was no evidence of ischemia or necrosis. A postoperative blood sample was positive for Chlamydia IgA and IgG antibodies. Marked fibrous adhesions between the liver and diaphragm, with a violin string-like funicular substance were noted and considered as components of the Fitz-Hugh-Curtis syndrome. Gallbladder torsion with strangulation is extreme rare, but a delay in the diagnosis and treatment of acute ischemic cholecystitis could become life-threatening; thus, appropriate diagnosis and prompt cholecystectomy are imperative.

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Cited by 2 publications

References 16 publications

Two Cases of Gallbladder Torsion in Elderly Patients Treated by Laparoscopic Cholecystectomy

Two Cases of Gallbladder Torsion in Elderly Patients Treated by Laparoscopic Cholecystectomy

Floating Gallbladder that was Twisted and Strangulated Around a Violin String-like Adhesion in a Case of Fitz-Hugh-Curtis Syndrome: Report of a Case

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