title: A gallbladder torsion presenting as acute cholecystitis in an elderly woman: A case report.
abstract: BACKGROUND
  Gallbladder torsion is a rare, but potentially lethal disease, in which early recognition is crucial.
  
  
  METHODS
  We describe the case of an 89-year-old Caucasian woman who presented with clinical symptoms suggestive of acute cholecystitis to our hospital. Radiological imaging confirmed our clinical diagnosis. At first we considered percutaneous gallbladder drainage because of her age and comorbidity, but instead performed laparoscopic cholecystectomy because of rapid clinical deterioration. During laparoscopy a necrotic gallbladder due to torsion of the gallbladder around the cystic duct was found.
  
  
  CONCLUSIONS
  Because percutaneous drainage could lead to further deterioration in the case of gallbladder torsion, this rare condition should be considered before performing a percutaneous drainage of cholecystitis.
authors.affiliation: Department of Surgery, St, Antonius Hospital, Postbus 2500, 3430 EM Nieuwegein, The Netherlands. j.boer3@antoniusziekenhuis.nl.
authors.forename: Jorine
authors.initials: J
authors.lastname: Boer
authors.forename: Djamila
authors.initials: D
authors.lastname: Boerma
authors.forename: Tammo S
authors.initials: TS
authors.lastname: de Vries Reilingh