The deceitful diagnosis of gallbladder volvulus: A case report

Mejri, Atef; Arfaoui, Khaoula; Rchidi, Jasser; Omry, Ahmed; Mseddi, Mohamed Ali; Saad, Sarra

doi:10.1016/j.ijscr.2021.106114

Cited by 6 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The second triad sign is a palpable mass in the right upper abdomen and a pulse temperature difference in a patient with non-toxic blood symptoms. In the case we reported here, the hemogram suggested elevated leukocyte count, elevated inflammatory biomarkers, and normal liver function tests, but these are not peculiar manifestations of gallbladder torsion (3,11,12). It is worth noting that the initial conservative treatment was not effective, and the pain in the right upper abdomen continued to worsen after treatment with antibiotics, which often suggests that the symptoms of biliary colic are not simply caused by cholecystitis.…”

Section: Discussionmentioning

confidence: 59%

“…This shows that the cystic duct is not optically filled, indicating that it is blocked (5,14). When patients have 2 triad signs in clinical symptoms and physical examination, and patients have a poor response to antibiotics, gallbladder torsion should be regarded as one of the differential diagnoses of acute calculous cholecystitis (11). When the above features are met, typical imaging will be very useful.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute abdominal disease associated with gallbladder torsion recovered after cholecystectomy: a rare case report and literature review

Wu¹,

Huang²,

He³

et al. 2022

Ann Transl Med

View full text Add to dashboard Cite

Background: Gallbladder torsion is very rare and easily misdiagnosed as biliary disease. It is defined as the rotation of the gallbladder along the axis of the cystic pedicle on the mesentery. As gallbladder rotation involves the gallbladder artery, the blood supply is blocked, resulting in gallbladder ischemia and eventual necrosis. If misdiagnosis occurs and treatment is delayed, gallbladder torsion can develop into a lethal disease. The typical imaging features of gallbladder torsion in this case are a good learning resource for our young physicians, as well as providing a rare, unusual and typical case for our current literature database.Case Description: We present a rare case of gallbladder torsion in a 19-year-old man. The patient complained of sudden recurrent pain and discomfort in the right upper abdomen with vomiting for 12 hours.Abdominal ultrasound and computed tomography (CT) scan showed gallbladder enlargement and signs of acute cholecystitis in emergency examination, and there were no signs of cholecystolithiasis. Considering that the patient was a young male and the patients prefer conservative treatment, symptomatic treatment was given. However, there was no obvious effect after 1 day of medical treatment, but severe abdominal pain in the upper right quadrant continues to progress. Finally, the patient underwent laparoscopic cholecystectomy, and the gallbladder was found to be enlarged with ischemic necrosis, which was caused by gallbladder torsion. The patient recovered 2 days after surgery and was discharged without complications.Conclusions: Although the clinical manifestation is similar to that of typical acute calculous cholecystitis, gallbladder torsion can be diagnosed early through some special signs on imaging examination, such as distorted cystic duct signs ("beak and whirl" sign), gallbladder dilatation with gallbladder fossa effusion, and gallbladder in the horizontal position. These signs can help primary surgical treatment and prevent fatal complications such as gallbladder gangrene, perforation, and biliary peritonitis. Therefore, for inexperienced doctors, careful imaging features are required for the correct diagnosis of rare gallbladder torsion.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Acute abdominal disease associated with gallbladder torsion recovered after cholecystectomy: a rare case report and literature review

Wu¹,

Huang²,

He³

et al. 2022

Ann Transl Med

View full text Add to dashboard Cite

show abstract

“…The diagnosis of gallbladder volvulus has an estimated mortality rate of 5% even with early diagnosis and surgical intervention, which is notably higher than the estimated 3.6% mortality of acute cholecystitis [9]. The increased mortality of gallbladder volvulus is attributed to strangulation of the cystic artery, which progresses to gallbladder necrosis and perforation with a near 100% mortality rate [10]. Since its first description in 1898, around 500 cases of gallbladder torsion have been reported in the literature with a median age of 77 years [1,2,11].…”

Section: Discussionmentioning

confidence: 99%

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Lemons¹,

Desimone²,

Seifarth³

2022

Cureus

View full text Add to dashboard Cite

Gallbladder volvulus is a rare gallbladder pathology that can present in adults but is exceedingly rare in children. The diagnosis itself can be very challenging due to its presentation with signs and symptoms of acute cholecystitis without specific imaging findings. The correct identification and prompt intervention with a cholecystectomy are crucial to improve patient outcomes. In this report, we discuss a pediatric patient who presented with gallbladder volvulus and subsequently underwent novel treatment with a single-port laparoscopic cholecystectomy.The patient is a 12-year-old male of Haitian descent who presented to an outside facility following the onset of persistent, right upper quadrant abdominal pain and recurrent nonbilious emesis. The diagnostic workup included serial abdominal exams, laboratory work, right upper quadrant ultrasounds, and a hepatobiliary iminodiacetic acid (HIDA) scan. The patient then underwent single-port laparoscopic removal of the torsed gallbladder with complete resolution of his symptoms. In this case report, the management and clinical presentation of gallbladder volvulus are discussed in more detail as well as the feasibility of single-port laparoscopic cholecystectomy in the setting of pediatric gallbladder volvulus.

show abstract

“…Gallbladder volvulus is commonly misdiagnosed as acute cholecystitis. Definitive diagnosis is usually achieved intraoperatively and only 10% of cases are diagnosed preoperatively [1,3,4,7]. Differentiating factors from acute cholecystitis include low frequency of fever, poor response to antibiotics and acute onset abdominal pain [1,5,8].…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Volvulus in an Elderly Female With Severe Kyphoscoliosis

Sidhu¹,

Seyfi²,

Crawford³

et al. 2023

Cureus

View full text Add to dashboard Cite

Gallbladder volvulus is a very rare complication of a congenital defect in gallbladder development also known as a "floating" gallbladder and often presents in the elderly. Proposed aetiologies include loss of abdominal fat and kyphoscoliosis. We present a patient with severe lumbar scoliosis centred on L2, producing a lumbar vertebral distortion of about 30 degrees concave to the right, resulting in right hemiabdomen volume loss. The mechanical interaction between the gallbladder fundus and compressed viscera transmits abnormal ambulatory forces from the distorted right pelvic brim into the abdomen predisposing to gallbladder torsion. Laparoscopic cholecystectomy was performed without complication and the patient had an uneventful recovery.This case demonstrates the challenges of diagnosing gallbladder torsion preoperatively. A high level of clinical suspicion is vital especially in elderly patients to enable timely surgical intervention to reduce morbidity and mortality.

show abstract

The deceitful diagnosis of gallbladder volvulus: A case report

Cited by 6 publications

References 10 publications

Acute abdominal disease associated with gallbladder torsion recovered after cholecystectomy: a rare case report and literature review

Acute abdominal disease associated with gallbladder torsion recovered after cholecystectomy: a rare case report and literature review

Hybrid Single-Port Cholecystectomy Pediatric Gallbladder Volvulus

Gallbladder Volvulus in an Elderly Female With Severe Kyphoscoliosis

Contact Info

Product

Resources

About