title: Gallbladder volvulus.
abstract: Gallbladder volvulus or torsion; is an uncommon cause of acute abdomen and occurs by rotation of the gallbladder on its mesentery. The entity commonly misdiagnosed as cholecystitis before laparatomy, although it has some critical findings that alert physician for correct diagnosis. A 47 years old male patient admitted to our emergency department with right upper quadrant pain, and then progressed through abdominal rigidity indicating acute abdomen, was subjected to laparatomy. At surgery; gangrenous and rotated gallbladder was observed and cholecystectomy was performed. Early diagnosis and prompt surgical treatment is mandatory to lower the complications of this entity. Clinical signs and radiographic studies should guide physicians for proper diagnosis of gallbladder torsion.
authors.affiliation: Ankara Numune Training and Research Hospital, Ministry of Health, Department of Emergency Medicine, Ankara, Turkey. mdengindeniz@yahoo.com
authors.forename: Engin Deniz
authors.initials: ED
authors.lastname: Arslan
authors.forename: Oktay
authors.initials: O
authors.lastname: Hakbilir
authors.forename: Bünyamin
authors.initials: B
authors.lastname: Uyanik
authors.forename: Baris
authors.initials: B
authors.lastname: Oztürk
authors.forename: Elif
authors.initials: E
authors.lastname: Kaya
authors.forename: Derya
authors.initials: D
authors.lastname: Oztürk
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D002763:Cholecystectomy / Q000379:methods*; D042241:Early Diagnosis; D005704:Gallbladder / Q000473:pathology / Q000601:surgery; D005705:Gallbladder Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography