Torsion of the gallbladder: a case report

Ijaz, Samia; Sritharan, Kaji; Russell, Neil; Dar, Manzoor A.; Bhatti, Tahir; Ormiston, M. C.

doi:10.1186/1752-1947-2-237

Cited by 14 publications

(19 citation statements)

References 5 publications

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“…On retrospective review of ultrasound examination of our patient, we could clearly see an echogenic Bnodule^near the gallbladder neck, which likely represents the twisted cystic duct as the patent portions of the cystic duct could be seen entering and exiting this echogenic Bnodule.^While this sign is new, a possible correlate to the same finding has been variously described with different imaging modalities in the literature as Benhancing cystic duct lateral to the gallbladder neck,^and Bechogenic conical-shaped structure^and Bfocal thickening around the gallbladder neck^inferior to the liver [5][6][7].…”

Section: Discussionmentioning

confidence: 74%

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The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion

et al. 2015

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Gallbladder torsion or volvulus is a rare but potentially lethal entity. We report the imaging findings of gallbladder torsion and describe a potentially novel ultrasound sign for the preoperative diagnosis of torsion. An 87-year-old woman presented with a 4-day history of right upper quadrant pain. An initial right upper quadrant ultrasound exam demonstrated cholelithiasis and findings of acute cholecystitis which included gallbladder distension, wall thickening, trace pericholecystic fluid, and a positive sonographic Murphy's sign. Gallbladder torsion was prospectively diagnosed on the subsequent contrast-enhanced CT scan of the abdomen based upon the abnormal transverse orientation of the gallbladder with the neck directed laterally. Ultrasound images were reviewed and a "knot"-like hyperechoic nodular appearance of the torsed cystic duct close to the gallbladder neck was clearly apparent. Prospective identification of the torsed cystic duct may prompt the ultrasound diagnosis of gallbladder torsion.

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Section: Discussionmentioning

confidence: 74%

“…CT findings that have been reported to suggest a diagnosis of gallbladder torsion include focal thickening around the gallbladder neck and the Bwhirl-sign^of a twisted cystic artery with medial deviation of extrahepatic common duct, and nonenhancement of the gallbladder wall [7,8].…”

Section: Discussionmentioning

confidence: 98%

The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion

et al. 2015

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“…Since its first description in 1898 by Wendel, (1) The symptoms of gallbladder torsion are largely nonspecific and they mimic those of acute cholecystitis. (3)(4)(5)(6)(7)(8)(9) When the rotation is less than 180 degrees (incomplete), the pain is similar to that of biliary colic, but when the rotation is more than 180 degrees (complete) and the blood supply to the gallbladder is compromised, then the pain is similar to that of acute cholecystitis. The physical examination usually shows non-specific findings, such as tenderness, guarding and low-grade fever, which mimic those findings of acute cholecystitis.…”

Section: Discussionmentioning

confidence: 91%

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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“…Murphy's sign was negative. On complete blood count testing, white blood cell count was 17400/mm 3 . Biochemical parameters were in normal ranges.…”

Section: Case Presentationmentioning

confidence: 99%

“…It may be seen commonly in elderly individuals and in women with thin body type but affecting all age groups (2,3). There are approximately 500 cases reported and the recent increase in reported cases may be because of increased mean lifetime of the population (4).…”

Section: Introductionmentioning

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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Torsion of the gallbladder: a case report

Abstract: Introduction: Torsion of the gallbladder is a rare condition that most commonly affects the elderly. Pre-operative diagnosis is the exception rather than the rule. Any delay in treatment can be fatal as the gallbladder may rupture, leading to biliary peritonitis.

Cited by 14 publications

References 5 publications

The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion

The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion

Gallbladder Torsion with Accompanying Acute Appendicitis

A Rare Cause of Acute Abdomen: Torsion of the Gallbladder

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