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
Author(s):  
Jun KIMURA ◽  
Hitoshi SEKIDO ◽  
Yuu SAWADA ◽  
Tetuya SHIMIZU ◽  
Gorou MATSUDA ◽  
...  

2019 ◽  
Vol 85 (5) ◽  
pp. 471-473 ◽  
Author(s):  
Sayuri Ezaki ◽  
Yoshito Tomimaru ◽  
Kozo Noguchi ◽  
Shingo Noura ◽  
Hiroshi Imamura ◽  
...  

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.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1882338 ◽  
Author(s):  
Brielle Elizabeth Wood ◽  
Jodie Trautman ◽  
Nicholas Smith ◽  
Soni Putnis

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.


Author(s):  
Akihiro KUBO ◽  
Ryo MAEYAMA ◽  
Takashi UEKI ◽  
Hiroyuki KONOMI ◽  
Masayuki OKIDO ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Stephen Doxey ◽  
Perwaiz Nawabi ◽  
Corey Pagnotta ◽  
Sally Smith ◽  
Charles Harper ◽  
...  

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Sunao Uemura ◽  
Hiromichi Maeda ◽  
Masayuki Obatake ◽  
Tsutomu Namikawa ◽  
Hiroyuki Kitagawa ◽  
...  

2019 ◽  
Vol 103 (9-10) ◽  
pp. 429-434
Author(s):  
Takehiro Noda ◽  
Nobuyoshi Ohara ◽  
Hisanori Hatano ◽  
Junzo Shimizu ◽  
Masashi Hirota ◽  
...  

Gallbladder torsion is one subtype of acute cholecystitis. Because of the very low incidence of the condition, there are few reports analyzing multiple cases of gallbladder torsion. The preoperative diagnosis is difficult and reported to be made in only 26% of patients. Herein, we report 6 consecutive cases of gallbladder torsion in 7 years and highlight the clinical and radiologic findings that facilitate preoperative diagnosis. Between 2005 and 2011, a total of 6 patients received a diagnosis of and were treated for gallbladder torsion in Toyonaka Municipal Hospital. A total of 5 patients received a diagnosis of gallbladder torsion or were suspected of having gallbladder torsion preoperatively, and 1 additional patient was diagnosed intraoperatively. The computed tomography findings of both excessive gallbladder swelling and rotation of the gallbladder fundus were observed in 5 patients, which were indicative findings of gallbladder torsion. The remaining 1 patient received a diagnosis intraoperatively. The twisted cystic duct and artery had been observed as a “whirl sign” preoperatively in 2 patients. Emergency cholecystectomy was performed: laparoscopic cholecystectomy was performed in 4 patients and open cholecystectomy in 2 patients. The patients treated by laparoscopic approach showed more rapid recovery and shorter postoperative hospital stay before discharge. The radiologic findings of both excessive gallbladder swelling and rotation of the gallbladder fundus are indicative of gallbladder torsion. The laparoscopic cholecystectomy approach could be considered the first choice for patients with gallbladder torsion.


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