Gallbladder volvulus: experience of six consecutive cases at an institute

Ikematsu, Yoshito; Yamanouchi, Kaoru; Nishiwaki, Yoshiro; Kida, Hideo; Waki, Shinji; Okawada, Taketoshi; Hasegawa, Shin; Uchimura, Masayuki

doi:10.1007/s005340070012

Cited by 15 publications

(19 citation statements)

References 5 publications

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“…Elderly patients and patients with liver atrophy, decreased fat tissue in the abdomen, kyphoscoliosis, atherosclerosis of the cystic artery, and increased peristalsis of neighboring organs were defined as predisposal factors (7)(8)(9). GB stones were found in only 20%-50% of these patients, and it has been suggested that they had no importance as an etiological factor (10).…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Acute Abdomen: Torsion of the Gallbladder

Eroler¹,

Duman²,

Tıhan³

et al. 2015

EAJEM

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Gallbladder (GB) torsion is defined as a rotation of the GB on its mesentery along the axis of the cystic duct and cystic artery. It is a rare case that might be the cause of GB necrosis and consequent acute abdomen. To date, approximately 500 patients with GB torsion have been reported. In this case, the patient is a 42-year-old woman who was admitted to our hospital with abdominal pain. The patient was subjected to laparotomy; during the operation, a GB torsion resulting in necrosis was observed, and cholecystectomy was performed. (Eurasian J Emerg Med 2015; 14: 197-8)

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Section: Discussionmentioning

confidence: 99%

A Rare Cause of Acute Abdomen: Torsion of the Gallbladder

Eroler¹,

Duman²,

Tıhan³

et al. 2015

EAJEM

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“…Eighty-five percent of these conditions occur between the ages of 60 and 80 years, with a female-to-male ratio of 3:1. 4 The history and physical findings are generally indistinguishable from those of acute cholecystitis, because most patients have nonspecific right-sided abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of anatomic and physiologic factors can contribute to such torsion. [1][2][3][4] The first such factor is a congenital anomaly in which abnormal migration with an absence of GB mesentery creates a free-floating GB. Another related group of factors includes generalized visceroptosis, atrophy of the liver, and loss of visceral fat and elasticity with aging and weight loss.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 CT provides diagnostic clues similar to those of US: the GB located outside of its fossa and inferior to the liver, pericholecystic fluid, and a massively distended GB with wall thickening. [1][2][3][4][5][6][7][8] Magnetic resonance imaging findings on T1 include high signal intensity in the GB wall, suggesting necrosis and hemorrhage. Matsuhashi et al 9 have reported that MRCP demonstrates dilatation of the GB but fails to detect its neck.…”

Section: Discussionmentioning

confidence: 99%

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Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

Fukuchi

Nakazato

Shoji

et al. 2012

International Surgery

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Torsion of the gallbladder is a rare entity that is difficult to diagnose preoperatively, the principal differential diagnosis being cholecystitis. The condition occurs most often in the elderly. Although its etiology is unknown, the presence of a redundant mesentery is a prerequisite for torsion. Computed tomography, ultrasound, and magnetic resonance cholangiopancreatography can provide important diagnostic clues. Torsion of the gallbladder occurs when it twists axially, with subsequent occlusion of bile or blood flow. Therefore, prompt surgical treatment is necessary in order to prevent necrosis and perforation. In the present study, we report a case of torsion of the gallbladder diagnosed by magnetic resonance cholangiopancreatography. This condition was successfully treated by laparoscopic cholecystectomy.

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“…It was first described in 1898 by Wendel (1) and approximately 500 or more cases have currently been reported in the literature. (2)(3)(4) Even with the recent advances in the radiologic imaging modalities, gallbladder torsion is a rare disease. The symptoms of this disease are largely non-specific, so making the preoperative diagnosis of gallbladder torsion is difficult, and the definite diagnosis is usually made at the time of surgery.…”

Section: Introductionmentioning

confidence: 99%

Gallbladder Torsion with Accompanying Acute Appendicitis

et al. 2009

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Gallbladder torsion is a rare clinical entity and it is a difficult condition to diagnose preoperatively. About 500 cases of gallbladder torsion have been reported since 1898, when Wendel first described gallbladder volvulus. This condition most commonly occurs in elderly women and the symptoms of this disease are largely non-specific and they mimic those of acute cholecystitis. Even with the recent advances of radiologic imaging modalities, making a preoperative diagnosis of gallbladder torsion is difficult and most cases are diagnosed at the time of surgery. An early diagnosis and prompt cholecystectomy for this disease are important in order to avoid the complications of gangrene and perforation, and to reduce mortality. A high index of suspicion of gallbladder torsion on the basis of the clinical situation and the specific findings on the radiologic images, usually ultrasonography and computed tomography (CT) scanning, can make the correct preoperative diagnosis possible. Gallbladder torsion is a rare disease, and gallbladder torsion with accompanying acute appendicitis is extremely rare. We report here on a case of gallbladder torsion with accompanying acute appendicitis in an 89-year-old woman and we review the clinical aspects of gallbladder torsion. Unfortunately, the diagnosis of gallbladder torsion was missed in this case, so we retrospectively reviewed and correlated the CT findings with the surgical findings.

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Gallbladder volvulus: experience of six consecutive cases at an institute

Cited by 15 publications

References 5 publications

A Rare Cause of Acute Abdomen: Torsion of the Gallbladder

A Rare Cause of Acute Abdomen: Torsion of the Gallbladder

Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

Gallbladder Torsion with Accompanying Acute Appendicitis

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