索状物による絞扼性胆囊炎の1例

Abstract

General HospitalA 76-year-old woman visited our hospital for right hypochondrial pain and nausea. Tenderness in the right hypochondrium was found by abdominal examination. Laboratory data were almost normal. Abdominal CT revealed a stenosis of the gallbladder between the neck and body, and a swollen gallbladder with a less-enhanced area of the fundus. Gallbladder torsion was diagnosed and laparoscopic cholecystectomy was performed immediately. The gallbladder was strangulated by a string that ran from the abdominal wall to the liver, and was dark-red in color at the body and fundus. There was no torsion of the gallbladder. Finally, the patient was diagnosed with strangulated cholecystitis. We were able to perform laparoscopic cholecystectomy by resecting the string. The postoperative course was satisfactory. There are few reports of strangulated cholecystitis due to strangulation by a string. We report this case with a review of the literature.