Incidental Finding of Gallbladder Torsion During Laparoscopic Cholecystectomy

Angiodysplasia is a common type of lesion characterized by malformed submucosal and mucosal blood vessels. Angiodysplasia of the gallbladder is extremely rare, usually an incidental finding, with only two cases reported. Laparoscopic cholecystectomy is a curative treatment for angiodysplasia of the gallbladder. Our report describes a case of angiodysplasia of the gallbladder in a patient who underwent elective laparoscopic cholecystectomy for biliary colic because of gallstones, and a systematic literature review. We surmise that angiodysplasia of the gallbladder could be a risk factor for gallstones in younger female patients.

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Incidental finding of incarcerated De Garengeot hernia during laparoscopic cholecystectomy

Case Studies in Surgery ◽

10.5430/css.v1n1p26 ◽

2015 ◽

Vol 1 (1) ◽

Cited By ~ 1

Author(s):

E. Hayakawa ◽

T. Hackett

Keyword(s):

Laparoscopic Cholecystectomy ◽

Incidental Finding ◽

De Garengeot Hernia

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Surgical Results of Laparoscopic Cholecystectomy for Gallbladder Torsion

The American Surgeon ◽

10.1177/000313481908500522 ◽

2019 ◽

Vol 85 (5) ◽

pp. 471-473 ◽

Cited By ~ 1

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.

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

SAGE Open Medical Case Reports ◽

10.1177/2050313x18823385 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1882338 ◽

Cited By ~ 1

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.

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