title: Gallbladder torsion: case report and review of the literature.
abstract: Torsion of the gallbladder is a surgical emergency, occurring mainly in the elderly. Female is predominant to male with ratio 3 to 1. Despite its unknown etiology, the anatomical variations in the attachment of gallbladder which occur on the mobile mesentery to the inferior margin of the liver are usually found. When the gallbladder twists around the cystic duct and artery, torsion takes place with ensuing occlusion of the flow of bile and blood. Preoperative diagnosis is difficult to make; however, patients who receive prompt surgical treatment with cholecystectomy always get excellent outcomes. Mortality rate is low with 3% to 5%. Here, we report on elderly male patient with gallbladder torsion at our hospital and review the existing literature.
authors.affiliation: Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, 5, Fu-Shin Street, Kweishan, Taoyuan, Taiwan, R.O.C.
authors.forename: Y P
authors.initials: YP
authors.lastname: Hsu
authors.forename: R J
authors.initials: RJ
authors.lastname: Chen
authors.forename: J F
authors.initials: JF
authors.lastname: Fang
authors.forename: B C
authors.initials: BC
authors.lastname: Lin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000601:surgery; D005734:Gangrene; D006801:Humans; D008297:Male; D014102:Torsion Abnormality