Saint's triade presenting as volvulus of the gallbladder

Abstract

Saint's triade of hiatus hernia, colonic diverticula, and cholelithiasis presenting with volvulus of the gallbladder is a unique occurrence. Possible etiology of volvulus of the gallbladder involves kyphosis, viceroptosis, cholelithiasis, and in this case adhesive bands. Laparoscopic decompression of the gallbladder, division of the adhesive bands, detorsion of the volvulus, and finally laparoscopic cholecystectomy successfully resolved this uncommon clinical problem. We describe a case and review the literature.