title: Torsion of the gallbladder diagnosed by magnetic resonance cholangiopancreatography.
abstract: Torsion of the gallbladder is a rare entity that is difficult to diagnose preoperatively, the principal differential diagnosis being cholecystitis. The condition occurs most often in the elderly. Although its etiology is unknown, the presence of a redundant mesentery is a prerequisite for torsion. Computed tomography, ultrasound, and magnetic resonance cholangiopancreatography can provide important diagnostic clues. Torsion of the gallbladder occurs when it twists axially, with subsequent occlusion of bile or blood flow. Therefore, prompt surgical treatment is necessary in order to prevent necrosis and perforation. In the present study, we report a case of torsion of the gallbladder diagnosed by magnetic resonance cholangiopancreatography. This condition was successfully treated by laparoscopic cholecystectomy.
authors.affiliation: Department of Surgery, Social Insurance Gunma Chuo General Hospital, Gunma, Japan. mfukuchi@med.gunma-u.ac.jp
authors.forename: Minoru
authors.initials: M
authors.lastname: Fukuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakazato
authors.forename: Hisanori
authors.initials: H
authors.lastname: Shoji
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Naitoh
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuwano
mesh_terms: D000369:Aged, 80 and over; D049448:Cholangiopancreatography, Magnetic Resonance; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery