A Case of Torsion of the Gallbladder Diagnosed by Preoperative MRCP

Kentaro Chikaraishi; Nobuo Omura; Mitsuru Yanagaki; Suguru Hidaka; Toshiyuki Sasaki; Tsuyoshi Hirabayashi

doi:10.4030/jjcs.43.910

A Case of Torsion of the Gallbladder Diagnosed by Preoperative MRCP

Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) ◽

10.4030/jjcs.43.910 ◽

2018 ◽

Vol 43 (5) ◽

pp. 910-918

Author(s):

Kentaro Chikaraishi ◽

Nobuo Omura ◽

Mitsuru Yanagaki ◽

Suguru Hidaka ◽

Toshiyuki Sasaki ◽

...

Keyword(s):

Torsion Of The Gallbladder

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Torsion of the gallbladder: a rare but important differential to consider when treating acute cholecystitis non-operatively

BMJ Case Reports ◽

10.1136/bcr-2020-237842 ◽

2021 ◽

Vol 14 (1) ◽

pp. e237842

Author(s):

Arun Ahluwalia ◽

Matthew George Roy Allaway ◽

Serena Giga ◽

Richard James Curran

Keyword(s):

Acute Cholecystitis ◽

Inflammatory Markers ◽

Epigastric Pain ◽

Vital Signs ◽

Rare Condition ◽

Liver Function Tests ◽

Uneventful Recovery ◽

Imaging Characteristics ◽

Gallbladder Torsion ◽

Torsion Of The Gallbladder

A 79-year-old woman presented with postprandial epigastric pain. She had normal vital signs, inflammatory markers and liver function tests. Ultrasound and CT of the abdomen demonstrated features consistent with acute cholecystitis. Her medical comorbidities and extensive abdominal surgical history prompted the decision to treat non-operatively. Despite optimal medical management, worsening abdominal pain and uptrending inflammatory markers developed. She underwent an emergency laparoscopy which revealed a necrotic gallbladder secondary to an anticlockwise complete gallbladder torsion; a rare condition associated with significant morbidity and mortality if managed non-operatively. Laparoscopic cholecystectomy was achieved without complication and the patient had an uneventful recovery. Preoperative diagnosis of torsion of the gallbladder is difficult. However, there are certain patient demographics and imaging characteristics that can help surgeons differentiate it from acute cholecystitis; a condition which can be safely managed non-operatively in selected patients. The differentiating features are elaborated on in this case report.

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Torsion of the gallbladder in pregnancy

Journal of the Korean Surgical Society ◽

10.4174/jkss.2013.85.6.302 ◽

2013 ◽

Vol 85 (6) ◽

pp. 302 ◽

Cited By ~ 3

Author(s):

Seung Eun Lee ◽

Yoo Shin Choi ◽

Beom Jin Kim

Keyword(s):

Torsion Of The Gallbladder ◽

In Pregnancy

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Twisted cystic artery disclosed by 3-dimensional computed tomography angiography for torsion of the gallbladder

The American Journal of Surgery ◽

10.1016/j.amjsurg.2010.04.026 ◽

2011 ◽

Vol 201 (5) ◽

pp. e33-e34 ◽

Cited By ~ 5

Author(s):

Tsuyoshi Yokoi ◽

Kanji Miyata ◽

Norihiro Yuasa ◽

Eiji Takeuchi ◽

Yasutomo Goto ◽

...

Keyword(s):

Computed Tomography ◽

Computed Tomography Angiography ◽

Cystic Artery ◽

3 Dimensional ◽

Torsion Of The Gallbladder

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Torsion of the Gallbladder: Report of a Case

Yonsei Medical Journal ◽

10.3349/ymj.2005.46.6.862 ◽

2005 ◽

Vol 46 (6) ◽

pp. 862 ◽

Cited By ~ 6

Author(s):

Yong-Pil Cho ◽

Hee-Jeong Kim ◽

Seung-Mun Jung ◽

Gil-Hyun Kang ◽

Myoung-Sik Han ◽

...

Keyword(s):

Torsion Of The Gallbladder

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A Case of Torsion of the Gallbladder Suspected with SPECT-CT: Review and Recommendations

Case Reports in Surgery ◽

10.1155/2020/8687141 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Eric Bergeron ◽

Etienne Désilets ◽

Xuan Vien Do ◽

Daniel McNamara ◽

Sami Chergui ◽

...

Keyword(s):

Poor Prognosis ◽

Rare Case ◽

Relevant Literature ◽

Ct Images ◽

Hida Scan ◽

Torsion Of The Gallbladder ◽

Rare Situation

Torsion or volvulus of the gallbladder is a rare situation that rapidly progresses to gangrene and linked with a poor prognosis, even death, if unrecognized and untreated. An interesting and rare case of gallbladder volvulus in which diagnosis was obtained by comparing CT images and HIDA scan with SPECT-CT is presented. Relevant literature is reviewed, and recommendations are outlined.

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Gallbladder torsion presenting as chest pain

Annals of The Royal College of Surgeons of England ◽

10.1308/147870810x12659688851357 ◽

2010 ◽

Vol 92 (3) ◽

pp. e25-e26 ◽

Cited By ~ 1

Author(s):

Henry John Murray Ferguson ◽

Satish Bhalerao

Keyword(s):

Differential Diagnosis ◽

Chest Pain ◽

Early Recognition ◽

Sudden Onset ◽

Patient Demographic ◽

Gallbladder Torsion ◽

Torsion Of The Gallbladder ◽

Definitive Management

While acute torsion of the gallbladder is an uncommon pathology, as this case demonstrates, it can present with sudden onset of chest pain, and must be borne in mind as a differential diagnosis in this patient demographic if early recognition and definitive management are to be made possible.

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