scholarly journals Gallbladder torsion

2021 ◽  
Vol 17 (3) ◽  
pp. 154-160
Author(s):  
Gheorghe Ghidirim ◽  
Keyword(s):  
Gallbladder Torsion

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.

scholarly journals Gallbladder Torsion with Accompanying Acute Appendicitis

2009 ◽  
Vol 77 (2) ◽  
pp. 143 ◽  
Author(s):  
Se Kook Kee ◽  
Jae Oh Kim ◽  
Oh Kyoung Kwon ◽  
Soon Young Nam ◽  
Jong Yeol Kim ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Gallbladder Torsion

scholarly journals Acute gallbladder torsion - a continued pre-operative diagnostic dilemma

2011 ◽  
Vol 6 (1) ◽  
pp. 13 ◽  
Author(s):  
Nicolas J Mouawad ◽  
Brianne Crofts ◽  
Rachel Streu ◽  
Randal Desrochers ◽  
Beth C Kimball
Keyword(s):  
Diagnostic Dilemma ◽  
Gallbladder Torsion

scholarly journals Gallbladder torsion presenting as chest pain

2010 ◽  
Vol 92 (3) ◽  
pp. e25-e26 ◽  
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.

scholarly journals Cholecystitis secondary to gallbladder torsion – A rare case report

2018 ◽  
Vol 46 ◽  
pp. 13-15 ◽  
Author(s):  
Jason Cui ◽  
Mariya Abdullah ◽  
Iman Awan ◽  
Daniel Mehanna
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Gallbladder Torsion ◽  
Rare Case Report

scholarly journals Gallbladder torsion with acute cholecystitis and gross necrosis

2014 ◽  
Vol 2014 (may26 1) ◽  
pp. bcr2014204917-bcr2014204917 ◽  
Author(s):  
E. Alkhalili ◽  
K. Bencsath
Keyword(s):  
Acute Cholecystitis ◽  
Gallbladder Torsion

scholarly journals EP.TU.972Torsion of the gallbladder: a rare disease

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Roland Taylor ◽  
David Reid
Keyword(s):  
Rare Disease ◽  
Preoperative Diagnosis ◽  
Elderly Women ◽  
Imaging Techniques ◽  
Operative Management ◽  
Management Plan ◽  
Postoperative Recovery ◽  
Good Prognosis ◽  
First Case ◽  
Gallbladder Torsion

Abstract Gallbladder torsion was first described as early as in the 19th century but there are only about five hundred cases reported in literature. This rare disease predominantly affects elderly women with a median age of 77 years.The female to male ratio is 4:1. Though the exact etiology is unknown, certain anatomical variants of the gallbladder are thought to increase one's predisposition to the condition. Gallbladder torsion is very difficult to diagnose preoperatively and even with all the advancements in imaging techniques, only about a quarter of cases are diagnosed preoperatively. Most cases like the index case are diagnosed during surgery Aim To review the diagnosis and management of gallbladder torsion in 78 year old female patient who presented acutely to our unit. Method Discussion on the presentation, assessment, imaging and preoperative findings to as well as the management plan adopted. Results A review of intraoperative findings, postoperative recovery of the patient and literature on gallbladder torsion. Conclusion Since the first case of laparoscopic cholecystectomy for torsion in 1994, 105 further cases have been reported. Of this, 28% were managed by laparoscopic surgery whilst 8% resulted in a laparoscopy converted to open procedure. one case of ERCP detorsion has been reported. A high index of suspicion together with improved imaging techniques can help to significantly improve the preoperative diagnosis of gallbladder torsion. Early operative management usually results in a good prognosis. Innovations imaging techniques to help improve preoperative diagnosis will be discussed.

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