Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition.
We report a case of a 75-year-old female with acute torsion of the gallbladder with
gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory
blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen
and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively,
the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise
torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical
emergency which physicians should bear in mind when encountering patients with symptoms of
acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion.
The mortality rate in patients not undergoing surgery is 100%.
PMID: 29117662 [PubMed - in process]
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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