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Case Reports
. 2014 May 26:2014:bcr2014204917.
doi: 10.1136/bcr-2014-204917.

Gallbladder torsion with acute cholecystitis and gross necrosis

Eyas Alkhalili  1 , Kalman Bencsath  2
Affiliations
Case Reports

Gallbladder torsion with acute cholecystitis and gross necrosis

Eyas Alkhalili et al. BMJ Case Rep. .

Abstract

A 92-year-old woman presented to the emergency department with a 2-week history of worsening right-sided abdominal pain. On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests. A CT of the abdomen was remarkable for a large fluid collection in the right abdomen and no discernible gallbladder in the gallbladder fossa. An ultrasound confirmed the suspicion of a distended, floating gallbladder. The patient was taken to the operating room for laparoscopic cholecystectomy. The gallbladder was found to have volvulised in a counter -clockwise manner around its pedicle, with gross necrosis of the gallbladder. She underwent laparoscopic cholecystectomy. Pathological examination revealed acute necrotising calculus cholecystitis.

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Figures

Figure 1
Figure 1
CT of the abdomen showing massively distended gallbladder (arrows) with three stones (axial and coronal sections).
Figure 2
Figure 2
Right upper quadrant ultrasound showing a distended gallbladder with three large stones (open arrows) up to 2.4 cm in size with wall thickening (filled arrow), (sagittal and transverse views).
Figure 3
Figure 3
Intraoperative cholangiogram showing no filling defects with proximal and distal filling.
Figure 4
Figure 4
Gallbladder appearance after extraction showing necrosis and gallstones.
See this image and copyright information in PMC

References

    1. Wendel AV. VI. A case of floating gall-bladder and kidney complicated by cholelithiasis, with perforation of the gall-bladder. Ann Surg 1898;27:199–202 - PMC - PubMed
    1. Reilly DJ, Kalogeropoulos G, Thiruchelvam D. Torsion of the gallbladder: a systematic review. HPB (Oxford) 2012;14:669–72 - PMC - PubMed
    1. Vedanayagam MS, Nikolopoulos I, Janakan G, et al. Gallbladder volvulus: a case of mimicry. BMJ Case Rep 2013;2013:pii: bcr2012007857 - PMC - PubMed
    1. Arslan ED, Hakbilir O, Uyanik B, et al. Gallbladder volvulus. J Pak Med Assoc 2012;62:965–6 - PubMed
    1. Boonstra EA, van Etten B, Prins TR, et al. Torsion of the gallbladder. J Gastrointest Surg 2012;16:882–4 - PMC - PubMed

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