scholarly journals Expect the Unexpected: Torsion of the Gallbladder, a Rare Cause for Acute Cholecystitis

Cureus ◽  
2018 ◽  
Author(s):  
Yang Hwang ◽  
Krish Kulendran ◽  
Jack Ashworth
Keyword(s):  
Acute Cholecystitis ◽  
Torsion Of The Gallbladder

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

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.

Torsion of the gallbladder: A rare cause of acute cholecystitis

2006 ◽  
Vol 30 (4) ◽  
pp. 397-401 ◽  
Author(s):  
David M. Lemonick ◽  
Robert Garvin ◽  
Howard Semins
Keyword(s):  
Acute Cholecystitis ◽  
Torsion Of The Gallbladder

scholarly journals Gallbladder Volvulus

HPB Surgery ◽  
1993 ◽  
Vol 7 (2) ◽  
pp. 147-148 ◽  
Author(s):  
Ricardo F. Gonzalez-Fisher ◽  
Lourdes Vargas-Ramirez ◽  
Elias Rescala-Baca ◽  
Elias Dergal-Badue
Keyword(s):  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Unknown Origin ◽  
Anatomical Variants ◽  
Torsion Of The Gallbladder

A case of torsion of the gallbladder is presented. This is a rare condition that occurs more frequently in elderly females, it is associated with anatomical variants related to abnormal fixation of the gallbladder to the liver bed. It is usually diagnosed at laparotomy and treatment consists of cholecystectomy. This condition should be suspected in elderly females with acute cholecystitis or acute abdominal pain of unknown origin.

Cholescintigraphy versus Infusion Cholecystography in Acute Cholecystitis

1990 ◽  
Vol 29 (02) ◽  
pp. 51-53
Author(s):  
G. Edlund ◽  
V. Kempi
Keyword(s):  
Acute Cholecystitis ◽  
Clinical Diagnosis ◽  
Random Order ◽  
Final Diagnosis

Patients with the clinical diagnosis of acute cholecystitis were studied with intravenous cholecystography and cholescintigraphy. The two examinations alternated in a random order. The final diagnosis was ascertained by surgery in most patients. Either cholecystography or cholescintigraphy could be used in the diagnostics of patients with suspected acute cholecystitis. The methods have about the same accuracy. However, cholescintigraphy is performed more easily and more rapidly than intravenous cholecystography.

LONG TERM FOLLOW-UP AFTER EUS-GUIDED GALLBLADDER DRAINAGE FOR ACUTE CHOLECYSTITIS, USING USING HOT AXIOS SYSTEM

2018 ◽  
Author(s):  
M Manno ◽  
C Barbera ◽  
VG Mirante ◽  
L Miglioli ◽  
T Gabbani ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Gallbladder Drainage ◽  
Long Term Follow Up

Laparoscopic Cholecystectomy in Acute Gall Bladder Disease

1970 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
TK Maitra ◽  
NA Alam ◽  
E Haque ◽  
MH Khan ◽  
HK Chowdhury
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Early Phase ◽  
Gall Bladder Disease ◽  
Laparoscopic Procedure ◽  
Bladder Disease ◽  
Complication Of Surgery

Laparoscopic cholecystectomy is one of the procedures through which gall bladder can be removed. Acute cholecystitis was considered a contraindication for laparoscopic procedure but with time and experience this shortcoming is now overcome. Here is a study of 32 patients who were selected for laparoscopic cholecystectomy. Among them, 29 patients were operated by laparoscopic method and rest three patients were converted. This study showed the appropriate time for surgery, technical difficulties and the complication of surgery. It may be concluded that laparoscopic cholecystectomy is feasible and beneficial to the patient with acute cholecystitis in its early phase, if necessary support and expertise is available. (J Bangladesh Coll Phys Surg 2006; 24: 10-13)

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