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Review
. 2012 Apr;16(4):882-4.
doi: 10.1007/s11605-011-1712-6. Epub 2011 Oct 8.

Torsion of the gallbladder

Affiliations
Review

Torsion of the gallbladder

Elizabeth A Boonstra et al. J Gastrointest Surg. 2012 Apr.

Abstract

Introduction: A 77-year-old woman was seen with progressive abdominal pain.

Cases: A CT scan was made and showed a large gallbladder extending into the right lower abdomen. Ultrasound was performed but demonstrated no gallstones. Laparoscopy showed a tordated, necrotic gallbladder that was attached to the liver only by the cystic artery and cystic duct. Cholecystectomy was performed.

Conclusions: Torsion of the gallbladder is a rare but clinically important condition in which the diagnosis seldom is made preoperatively. In radiological and clinical signs of cholecystitis without gallstones, this condition should be considered.

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Figures

Fig. 1
Fig. 1
CT image with the free-floating gallbladder
Fig. 2
Fig. 2
The tordated cystic duct

References

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