[Volvulus of the gallbladder].
The gallbladder volvulus is a very rare but extremely dangerous event. Described for the first time by Wendel in 1898, it affects more frequently the female sex, particularly in old age. The clinical case of a patient affected by this pathology, personally observed, is presented and the initial symptoms, diagnostic procedures and surgical intervention are described in detail. The anatomical and physiological backgrounds that permit the gallbladder to twist on its axis are analysed and finally the importance of an early diagnosis to avoid the complications of a bilious peritonitis is underlined. In any case the definite diagnosis is made more frequently during surgical intervention. An early intervention allows a rapid resolution of the clinical picture preventing the perforation of the viscus into the peritoneal cavity and the complication of a bilious peritonitis besides the spreading of the biliary stones into the abdominal cavity.
Campione
O
O
Chirurgia d'Urgenza, Policlinico S. Orsola, Bologna.
D'Alessandro
L
L
Grassigli
A
A
Pasqualini
E
E
Marrano
N
N
Lenzi
F
F
D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications; D005260:Female; D005704:Gallbladder / Q000098:blood supply / Q000473:pathology; D005705:Gallbladder Diseases / Q000601:surgery*; D005734:Gangrene; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D009336:Necrosis; D010538:Peritonitis / Q000517:prevention & control; D014102:Torsion Abnormality / Q000150:complications / Q000601:surgery