scholarly journals A CASE OF GALLBLADDER TORSION WITH INTERESTING RADIOLOGICAL FINDINGS TREATED BY EMERGENCY LAPAROSCOPIC CHOLECYSTECTOMY

2008 ◽  
Vol 69 (12) ◽  
pp. 3261-3265 ◽  
Author(s):  
Kazuki MASHIKO ◽  
Tsunehiko MARUYAMA ◽  
Toshiro TAKAGAKI ◽  
Nobuhiro OKOUCHI
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Radiological Findings ◽  
Gallbladder Torsion

scholarly journals A CASE OF THE GALLBLADDER TORSION DIAGNOSED PREOPERATIVELY AND TREATED WITH LAPAROSCOPIC CHOLECYSTECTOMY

2008 ◽  
Vol 69 (4) ◽  
pp. 886-890 ◽  
Author(s):  
Jun KIMURA ◽  
Hitoshi SEKIDO ◽  
Yuu SAWADA ◽  
Tetuya SHIMIZU ◽  
Gorou MATSUDA ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallbladder Torsion

scholarly journals A CASE OF GALLBLADDER TORSION IN A CHILD SUCCESSFULLY TREATED WITH LAPAROSCOPIC CHOLECYSTECTOMY

2007 ◽  
Vol 68 (5) ◽  
pp. 1257-1261 ◽  
Author(s):  
Masafumi KIKKAWA ◽  
Masanobu IKEDA ◽  
Kunihiko SHIMATANI ◽  
Mari KIMURA ◽  
Kenji MIYASAKA
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallbladder Torsion

Surgical Results of Laparoscopic Cholecystectomy for Gallbladder Torsion

2019 ◽  
Vol 85 (5) ◽  
pp. 471-473 ◽  
Author(s):  
Sayuri Ezaki ◽  
Yoshito Tomimaru ◽  
Kozo Noguchi ◽  
Shingo Noura ◽  
Hiroshi Imamura ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Series ◽  
Operation Time ◽  
Type I ◽  
Surgical Results ◽  
Intraoperative Bleeding ◽  
Conversion To Open Surgery ◽  
Gallbladder Torsion ◽  
Optimal Approach ◽  
Median Operation Time

Gallbladder torsion (GT) causes ischemia of the gallbladder, which potentially leads to a fatal condition. Consequently, GT requires urgent treatment. An urgent laparoscopic cholecystectomy (LC) might be the optimal approach, in view of the anatomical abnormality, “floating gallbladder,” which is associated with GT. However, the feasibility of LC for GT has not been well investigated. Thus, in this study, we investigated the feasibility of LC for GT in a case series. A total of 393 patients underwent urgent LC for acute gallbladder diseases at our institution during the study period. Among these patients, six had GT (1.5%) and were enrolled in this study. We retrospectively analyzed the surgical results of LC. Of the six cases, four (66.7%) were correctly diagnosed with GT preoperatively. There were two cases of Type I and four cases of Type II, based on the Gross classification for GT. The median operation time and intraoperative bleeding volume were 64 minutes and 18 mL, respectively. No cases required conversion to open surgery. All six cases experienced an uneventful postoperative course. The median postoperative hospital stay was six days. The surgical results of LC were favorable for six cases of GT. These results showed that LC was feasible for GT.

scholarly journals Rare case report of acalculous cholecystitis: Gallbladder torsion resulting in rupture

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882338 ◽  
Author(s):  
Brielle Elizabeth Wood ◽  
Jodie Trautman ◽  
Nicholas Smith ◽  
Soni Putnis
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Epigastric Pain ◽  
Rare Condition ◽  
Acalculous Cholecystitis ◽  
Sudden Onset ◽  
Costal Margin ◽  
Palpable Mass ◽  
Mortality And Morbidity ◽  
Gallbladder Torsion ◽  
Rare Case Report

Acalculous cholecystitis caused by gallbladder torsion is a rare condition. Only 500 cases have been reported since the first diagnosed case in 1898. We present the case of a 89-year-old woman with sudden onset of severe epigastric pain, radiating across her right costal margin, associated with nausea. Her abdomen was soft, mildly distended, Murphy’s negative but with epigastric tenderness and palpable mass. Computed tomography and ultrasound demonstrated significant acute cholecystitis, with the common bile duct measuring 7 mm. Due to the patients’ comorbidities, conservative treatment was initiated, until she was becoming increasing worse, so a laparoscopic cholecystectomy was performed. The operation revealed gallbladder torsion causing complete gallbladder necrosis and perforation with intraperitoneal biliary spillage. Gallbladder torsion should be a high differential if an elderly female patient presenting with sudden onset of abdominal pain, tender epigastric/right upper quadrant mass and a distended gallbladder on imaging. A laparoscopic cholecystectomy must be performed promptly to reduce the likelihood of gallbladder rupture and reduce the mortality and morbidity associated with this condition.

scholarly journals Difficult laparoscopic cholecystectomy and preoperative predictive factors

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Giuseppe Di Buono ◽  
Giorgio Romano ◽  
Massimo Galia ◽  
Giuseppe Amato ◽  
Elisa Maienza ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Predictive Factors ◽  
Intraoperative Complications ◽  
Gallbladder Disease ◽  
Control Group ◽  
Emergency Setting ◽  
Inclusion Criteria ◽  
Radiological Findings ◽  
Increased Risk

AbstractLaparoscopic cholecystectomy (LC) is the standard technique for treatment of gallbladder disease. In case of acute cholecystitis we can identify preoperative factors associated with an increased risk of conversion and intraoperative complications. The aim of our study was to detect preoperative laboratory and radiological findings predictive of difficult LC with potential advantages for both the surgeons and patients in terms of options for management. We designed a retrospective case–control study to compare preoperative predictive factors of difficult LC in patients treated in emergency setting between January 2015 and December 2019. We included in the difficult LC group the surgeries with operative time > 2 h, need for conversion to open, significant bleeding and/or use of synthetic hemostats, vascular and/or biliary injuries and additional operative procedures. We collected 86 patients with inclusion criteria and difficult LC. In the control group, we selected 86 patients with inclusion criteria, but with no operative signs of difficult LC. The analysis of the collected data showed that there was a statistically significant association between WBC count and fibrinogen level and difficult LC. No association were seen with ALP, ALT and bilirubin values. Regarding radiological findings significant differences were noted among the two groups for irregular or absent wall, pericholecystic fluid, fat hyperdensity, thickening of wall > 4 mm and hydrops. The preoperative identification of difficult laparoscopic cholecystectomy provides an important advantage not only for the surgeon who has to perform the surgery, but also for the organization of the operating block and technical resources. In patients with clinical and laboratory parameters of acute cholecystitis, therefore, it would be advisable to carry out a preoperative abdominal CT scan with evaluation of features that can be easily assessed also by the surgeon.

scholarly journals Two Cases of Gallbladder Torsion in Elderly Patients Treated by Laparoscopic Cholecystectomy

2018 ◽  
Vol 79 (4) ◽  
pp. 875-878
Author(s):  
Akihiro KUBO ◽  
Ryo MAEYAMA ◽  
Takashi UEKI ◽  
Hiroyuki KONOMI ◽  
Masayuki OKIDO ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Gallbladder Torsion

scholarly journals Incidental Finding of Gallbladder Torsion During Laparoscopic Cholecystectomy

Cureus ◽  
2021 ◽  
Author(s):  
Stephen Doxey ◽  
Perwaiz Nawabi ◽  
Corey Pagnotta ◽  
Sally Smith ◽  
Charles Harper ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Incidental Finding ◽  
Gallbladder Torsion
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