title: Gallbladder torsion with acute cholecystitis and gross necrosis.
abstract: A 92-year-old woman presented to the emergency department with a 2-week history of worsening right-sided abdominal pain. On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests. A CT of the abdomen was remarkable for a large fluid collection in the right abdomen and no discernible gallbladder in the gallbladder fossa. An ultrasound confirmed the suspicion of a distended, floating gallbladder. The patient was taken to the operating room for laparoscopic cholecystectomy. The gallbladder was found to have volvulised in a counter -clockwise manner around its pedicle, with gross necrosis of the gallbladder. She underwent laparoscopic cholecystectomy. Pathological examination revealed acute necrotising calculus cholecystitis.
authors.affiliation: Department of Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Eyas
authors.initials: E
authors.lastname: Alkhalili
authors.affiliation: Cleveland Clinic, Mayfield Heights, Ohio, USA.
authors.forename: Kalman
authors.initials: K
authors.lastname: Bencsath
mesh_terms: D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D041881:Cholecystitis, Acute / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging / Q000473:pathology*; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D009336:Necrosis; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014463:Ultrasonography