title: Torsion of the gallbladder in pregnancy. A case report.
abstract: BACKGROUND
  Gallbladder torsion is rarely diagnosed in pregnancy, but prompt surgical intervention is necessary to avoid possible sepsis and death.
  
  
  METHODS
  A 28-year-old, African American woman at 30(6/7) weeks' gestation was admitted with the presumed diagnosis of acute cholecystitis. The patient was treated conservatively. However, on re-examination, the patient's physical examination and laboratory values worsened. She underwent an exploratory laparotomy, which revealed a twisted gallbladder. A cholecystectomy was performed after untwisting of the gallbladder. Postoperatively the patient did well and subsequently delivered a healthy infant at 38(2/7) weeks' gestation.
  
  
  CONCLUSIONS
  Surgical evaluation of an acute abdomen in pregnancy should not be delayed. For a presumed diagnosis of acute cholecystitis that does not improve after conservative measures are taken, gallbladder torsion should be added to the differential diagnosis.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Suite 408, Atlanta, GA 30303, USA. kkleiss@emory.edu
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kleiss
authors.forename: Leslie
authors.initials: L
authors.lastname: Choy-Hee
authors.forename: Robin
authors.initials: R
authors.lastname: Fogle
authors.forename: Michael
authors.initials: M
authors.lastname: Lindsay
mesh_terms: D000328:Adult; D002763:Cholecystectomy; D005260:Female; D005705:Gallbladder Diseases / Q000473:pathology / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D014102:Torsion Abnormality / Q000473:pathology / Q000601:surgery