title: Torsion of the gallbladder: report of a case.
abstract: Torsion of the gallbladder is a rare entity that is difficult to diagnose preoperatively. The condition occurs most often in the elderly. Although its etiology is unknown, a constant finding is the presence of the gallbladder on a mobile mesentery (floating gallbladder). Torsion, or volvulus, of the gallbladder occurs when it twists axially, with the subsequent occlusion of bile and/or blood flow. Herein, a case of torsion of the gallbladder is presented where preoperative computed tomographic scan and laparoscopy were successfully used to diagnose and treat this condition without the usual requirement of open exploration. Given the possibility of laparoscopic cholecystectomy and the increasing incidence with which torsion of the gallbladder is being witnessed today, the importance of a preoperative computed tomographic scan is emphasized when there is a high index of clinical suspicion.
authors.affiliation: Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, 415 Bangdong-ri, Sacheon-myeon, Gangwon-do, Gangneung-si 210-711, Korea. ypcho@gnah.co.kr
authors.forename: Yong-Pil
authors.initials: YP
authors.lastname: Cho
authors.forename: Hee-Jeong
authors.initials: HJ
authors.lastname: Kim
authors.forename: Seung-Mun
authors.initials: SM
authors.lastname: Jung
authors.forename: Gil-Hyun
authors.initials: GH
authors.lastname: Kang
authors.forename: Myoung-Sik
authors.initials: MS
authors.lastname: Han
authors.forename: Hyuk-Jai
authors.initials: HJ
authors.lastname: Jang
authors.forename: Yong-Ho
authors.initials: YH
authors.lastname: Kim
authors.forename: Sung-Gyu
authors.initials: SG
authors.lastname: Lee
mesh_terms: D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery