The deceitful diagnosis of gallbladder volvulus: A case repo
The gallbladder volvulus is a life-threatening condition related to its pedicle strangulation. When suspected, a complementary Doppler study should be warranted. It requires urgent cholecystectomy.

The gallbladder volvulus is a rare but life-threatening condition characterized by an axial torsion of the gallbladder along the cystic pedicle, causing gallbladder ischemia and necrosis. This paper aims to present and discuss a rare case of gallbladder volvulus.

Researchers report the case of a 90-year-old female patient who presented to the emergency room with sharp right upper abdominal quadrant pain of acute onset associated with vomiting, evolving for the last 12 h. She had no fever nor jaundice. Her body mass index (BMI) was 22. She had kyphosis and scoliosis.

Physical examination found tenderness with a palpable mass in the right upper abdominal quadrant. Laboratory test results showed leukocytosis at 11600 /mL and a high C-reactive protein rate at 40 mg/L revealed acute calculous cholecystitis features. However, an emergency laparotomy was performed and discovered a gallbladder volvulus. A detorsion and cholecystectomy were performed with a good outcome.

Despite the clinical similarities with the classical acute calculous cholecystitis, gallbladder volvulus is more likely to result in fatal outcomes. Therefore, a high level of clinical suspicion is necessary to save lives.

International Journal of Surgery Case Reports
Source: https://doi.org/10.1016/j.ijscr.2021.106114
Like
Comment
Share