Preoperative sonographic diagnosis of gallbladder torsion: report of two cases

Safadi, R.; Abu‐Yousef, Monzer M.; Farah, A; Al‐Jurf, Adel S.; Shirazi, Siroos S.; Brown, Bruce P.

doi:10.7863/jum.1993.12.5.296

Cited by 22 publications

(21 citation statements)

References 3 publications

(3 reference statements)

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“…Specific US signs seen in torsion include identification of the GB outside of its normal anatomic fossa, inferior to the liver or in a transverse orientation, with an echogenic conical structure. 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.…”

Section: Discussionmentioning

confidence: 94%

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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Section: Discussionmentioning

confidence: 94%

Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

Fukuchi

Nakazato

Shoji

et al. 2012

International Surgery

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“…23 Multiple authors report that ultrasound can also be extremely specific in diagnosing torsion when the gallbladder is located outside of the fossa and inferior to the liver, presenting an echogenic conical structure. 15,24,25 This image has been described as the wandering or pedunculated gallbladder. 15,24,25 When color flow Doppler is used to visualize arterial blood, complete volvulus can be effectively eliminated.…”

Section: Illustrative Casementioning

confidence: 99%

“…15,24,25 This image has been described as the wandering or pedunculated gallbladder. 15,24,25 When color flow Doppler is used to visualize arterial blood, complete volvulus can be effectively eliminated. 1 CT scans are usually nonspecific for diagnosing the disease.…”

Section: Illustrative Casementioning

confidence: 99%

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A Clinician’s Guide to the Diagnosis and Management of Gallbladder Volvulus

Pottorf

Alfaro²,

Hollis³

2013

TPJ

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“…The only clinical symptom was a palpable abdominal cystic mass, which showed Offprint requests to: M. Nakahama (Received Mar. 7, 1995; accepted Oct. 27,1995) unusual hypermobility in the abdomen. Preoperatively, the gallbladder could not be distinguished from a mesenteric or omental cyst.…”

Section: Introductionmentioning

confidence: 99%

Floating gallbladder associated with histologically distinct double cancers

et al. 1996

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A case of unusually hypermobile floating gallbladder in a 79-year-old woman with histologically distinct double cancers of the gallbladder is described. The patient presented with an abdominal cystic mass, which was palpable with easy mobility from the right lower quadrant practically to the left upper quadrant. Exploratory laparotomy was performed and the cystic mass was found to be a floating gallbladder. The cystic duct was elongated and obstructed, and had a long mesentery. After the operation, latent double cancers of the gallbladder were discovered on histopathological examination. The obstruction of the cystic duct was due to chronic inflammation and had resulted in hydrops of the gallbladder. This was suspected to have played an important role in the carcinogenesis. We believe that this is the first report of a floating gallbladder associated with double gallbladder cancers.

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Preoperative sonographic diagnosis of gallbladder torsion: report of two cases

Cited by 22 publications

References 3 publications

Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

A Clinician’s Guide to the Diagnosis and Management of Gallbladder Volvulus

Floating gallbladder associated with histologically distinct double cancers

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