Torsion of the Gallbladder: Two Case Reports

Malherbe, V.; Dandrifosse, Anne-Catherine; Detrembleur, Nancy; Denoel, A

doi:10.1080/00015458.2008.11680193

Cited by 10 publications

(7 citation statements)

References 4 publications

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“…In patients with GBV, serologic tests are usually nonspecific and tend to simply indicate the presence of an acute inflammatory process. Only 55 % of patients with GBV exhibit elevated levels of inflammatory markers such as WBC and C-reactive protein (CRP) and the liver function values of approximately 85 % of patients are within normal limits [7] , [8] . Given the non-specificity of these serologic tests, imaging studies are usually required for diagnosis, as was the case for our patient.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder volvulus with gangrenous cholecystitis – A case report

Muenyi

Zalamea²,

Dhindsa³

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Gallbladder volvulus with gangrenous cholecystitis – A case report

Muenyi

Zalamea²,

Dhindsa³

et al. 2022

International Journal of Surgery Case Reports

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“…Volvulus most commonly occurs at the sigmoid colon, cecum, and small intestine and, rarely the stomach [1]. Torsion of the gallbladder is a rare clinical condition of the hepatobiliary system, with a reported clinical incidence of 1 in 365,520 hospital admissions.…”

Section: Discussionmentioning

confidence: 99%

“…Gallbladder torsion is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery [1]. It is an uncommon clinical entity and a difficult condition to diagnose preoperatively.…”

Section: Introductionmentioning

confidence: 99%

Torsion of gall bladder, a rare entity: a case report and review article

Gupta¹,

Singh

Sewkani

et al. 2009

Cases Journal

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IntroductionGallbladder torsion is a rare entity, which is often difficult to diagnose preoperatively. Since its first description in 1898 by Wendel, there have been over 500 documented cases in the literature. It is defined as rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Gallbladder torsion is more frequently encountered in the elderly with peak incidence in the 65-75 year old group, and a 3:1 female predominance. Gallbladder torsion typically presents as an acute abdomen requiring emergency surgery, and most cases are found as a surprise at surgery since preoperative diagnosis of gallbladder torsion is difficult. We report a case of acute gallbladder torsion in an elderly male and review the clinical aspect of gallbladder torsion.Case reportA 54-year old male presented to our department with a 5-day history of sudden onset colicky abdominal pain associated with vomiting, progressive abdominal distension and fever. Laparotomy through a chevron incision was performed and findings at operation included a gallbladder, which was necrotic and gangrenous, not attached to the liver by any mesentery. It was hanging by the attachments of cystic duct and cystic artery only, with a 360-degree clockwise torsion.ConclusionGallbladder torsion is rare surgical emergency which requires a high index of suspicion for early preoperative diagnosis and prompt intervention. Treatment consists of cholecystectomy with a prior detorsion to avoid injury to the common duct.

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“…Serologic tests might be imprecise and typically mimic an acute inflammatory illness [ 23 ]. In 55% of patients, inflammatory indicators, such as C-reactive protein (CRP) and white blood cell count, are elevated.…”

Section: Reviewmentioning

confidence: 99%