Volvulus de la vésicule biliaire: deux cas

Amrani, Younes; Ounani, M. El; Beavogui, Lansana; Sedki, Nabil; Elabsi, M.; Echerrab, Mohammed; Alami, Fouad; Amraoui, Mohammed El; Errougani, A.; Chkoff, R.; Zizi, A.

doi:10.1016/s0755-4982(06)74838-2

Cited by 4 publications

(7 citation statements)

References 7 publications

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“…Another mechanical events may be sudden shifts in body position, intense peristalsis of adjacent viscera, and blunt trauma. Increased cholecystokinin production leading to gallbladder peristaltis after a fatty meal may facilite gallbladder torsion [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…There was a contradiction in terms of surgical technique. If a cholecystectomy performed without detorsion of the gallbladder had reduced the risk of sepsis, it could damage the bile ducts [5,13]. In the literature, a minimally invasive approach should be the first choice, laparoscopic cholecystectomy can often be facilitated by the minimal adherence of the gallbladder to the liver bed, but it is recommended to assess the anatomy with diagnostic imaging like intraoperatory cholangiogram [14,15].…”

Section: Discussionmentioning

confidence: 99%

“…It's a potentially fatal condition by its most often late diagnosis [1,2]. However, with increasing awareness of the condition, advancements in medical imaging, and more accurate knowledge coming from the collection of published case reports, it is increasingly possible for this condition to be diagnosed and managed appropriately [3][4][5]. We report the particular case of a volvulus of the gallbladder to improve its management, given the critical nature of this disease.…”

Section: Introductionmentioning

confidence: 99%

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A New Observation of Volvulus of the Gallbladder

Prudence¹,

Davidà²,

Ibrahim³

et al. 2019

EJCBS

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Background: The volvulus of the gallbladder is a rotation of the gallbladder around its cystic pedicle. It is a relatively rare disease in the literature. Only 400 cases have been described. The diagnostic may be difficult in preoperative. The aim of our study is to report an observation of gallbladder volvulus to discuss its diagnostic and therapeutic management in relation to the literature. Observation: A 63-year-old woman was admitted for febrile hepatic colic. The biological examination revealed an hyperleukocytosis at 12000G/L, ASAT was at three times normal and ALAT at four times normal. Total bilirubin and conjugated bilirubin were without particularity. The most likely diagnosis was an acute cholecystitis in front of the clinical status, leading to ultrasound of the liver and bile ducts. The scanographic explorations had suspected a torsion of gallbladder. The diagnosis of gallbladder volvulus was made intraoperatively during exploratory laparotomy. The gallbladder was gangrened, twisted in a turn of the clockwise. The cholecystectomy was made after detorsion. The evolution was favorable. Conclusion: The volvulus of the gallbladder is a rare cause of acute cholecystitis. The medical imaging is a key element for the diagnostic. The prognosis is good in front of an early diagnosis. The cholecystectomy is the only surgery treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A New Observation of Volvulus of the Gallbladder

Prudence¹,

Davidà²,

Ibrahim³

et al. 2019

EJCBS

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“…Il concerne le plus souvent la femme âgée. Il peut être expliqué par deux anomalies anatomiques [1,2] type B, la vésicule et le cystique sont amarrés à la face inférieure du foie par un méso trop court. Ces anomalies de migration embryologique de la vésicule, associées à la perte de graisse et d'élasticité chez la personne âgée, favorisent la viscéroptose et la mobilité de l'organe [3].…”

Section: Commentairesunclassified

Volvulus de la vésicule biliaire

et al. 2015

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“…Since that early report, more than 500 cases have been reported in the world literature. [3][4][5][6][7][8][9][10] The clinical incidence of GV has been reported as 1 in 365,520 hospital admissions. 11 Multiple authors have postulated reasons for torsion of the gallbladder.…”

Section: Illustrative Casementioning

confidence: 99%