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Gallbladder volvulus


Authors: R. Hrivnák 1;  V. Čan 1;  I. Rovný 1;  T. Andrašina 2
Authors place of work: Chirurgická klinika FN Brno a LF Masarykovy Univerzity v Brně, přednosta: prof. MUDr. Z. Kala, CSc. 1;  Radiologická klinika FN Brno a LF Masarykovy Univerzity v Brně, přednosta: prof. MUDr. V. Válek, CSc. 2
Published in the journal: Rozhl. Chir., 2017, roč. 96, č. 7, s. 309-312.
Category: Case Report

Summary

Introduction:
Volvulus of the gallbladder is one of very rare diseases ranked among acute abdomen conditions. Only case reports are described in the literature. The disease presents with acute biliary ailments, often reminiscent of acute cholecystitis. It is more common in frail elderly women and its preoperative diagnosis is very difficult, and therefore this finding is encountered intraoperatively in most cases.

Case report:
In our case report we present the case of a female patient where the volvulus of the gallbladder was found as a surprising discovery during surgery.

Conclusion:
Gallbladder volvulus is a rare disease that presents as acute abdomen. It is most often diagnosed intraoperatively. Cholecystectomy is the most appropriate therapeutic method.

Key words:
gallbladder volvulus – acute abdomen – floating gallbladder


Zdroje

1. Wendel AV. A Case of floating gall-bladder and kidney complicated by cholelithiasis, with perforation of the gall-bladder. Ann Surg 1898;27:199−202.

2. Pu TW, Fu CY, Lu HE, et al. Complete body-neck torsion of the gallbladder: a case report. World J Gastroenterol 2014;20:14068−72.

3. Weber P, Kubešová H, Procházka V, et al. Akutní stavy u chorob jater, žlučníku a žlučových cest ve stáří. Čes Ger Rev 2008;6:156–60.

4. Aibe H, Honda H, Kuroiwa T, et al. Gallbladder torsion: case report. Abdom Imaging 2002;27:51–3.

5. Kitagawa H, Nakada K, Enami T, et al. Two cases of torsion of the gallbladder diagnosed preoperatively. J Paediatr Surg 1997;32:1567–9.

6. Janakan G, Ayantunde AA, Hoque H. Acute gallbladder torsion: an unexpected intraoperative finding. World J Emerg Surg 2008;3:9.

7. McHenry CR, Byrne MP. Gallbladder volvulus in the elderly. An emergent surgical disease. J Am Geriatr Soc 1986;34:137–9.

8. Dasyam AK, Koo J, Stahlfeld Miller M, et al. The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion. Emerg Radiol 2015;22:445–7.

9. Tajima Y, Tsuneoka N, Kuroki T, et al. Clinical images. Gallbladder torsion showing a whirl sign on a multidetector computed tomography scan. Am J Surg 2009;197:e9-10.

10. Lau WY, Fan ST, Wong SH. Acute torsion of the gallbladder in the aged: a re-emphasis on clinical diagnosis. Aust N Z J Surg 1982;52:492–4.

Štítky
Surgery Orthopaedics Trauma surgery
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