Diagnosis and laparoscopic approach to gallbladder torsion and cholelithiasis.
Torsion of the gallbladder is common in elderly women. Different causes have been proposed for this rare condition. The presence of a long mesentery and loss of visceral fat are the main causes for the development of torsion. Patients present with a sudden, acute pain in the right upper quadrant, suggesting cholecystitis. Different imaging methods have shown particular findings, but the diagnosis is still complex. Today, just a few cases have been reported in the literature. The treatment for this condition consists of surgical detorsion and cholecystectomy. Gallbladder torsion is a very rare entity and should be suspected when these clinical findings are present.
Garciavilla
Patricio Cruz
PC
Gastrointestinal Surgery Department, Hospital Español de México. patricio_cruzgar@yahoo.com.mx
Alvarez
Jorge Fernández
JF
Uzqueda
Gonzalo Vargas
GV
D000369:Aged, 80 and over; D002764:Cholecystitis / Q000601:surgery; D041761:Cholecystolithiasis / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging / Q000473:pathology; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009336:Necrosis; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography