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https://doi.org/10.20471/acc.2016.55.04.22

Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition

Leon Kunišek orcid.org/0000-0001-6927-0912 ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
Miodrag Gudelj ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
Marko Zelić ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
Dorian Kršul ; Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, Croatia
Juraj Kunišek ; Thalassotherapia Crikvenica, Special Hospital for Medical Rehabilitation, Crikvenica, Croatia

Abstract

We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in mind when encountering patients with symptoms of acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion. The mortality rate in patients not undergoing surgery is 100%.

Keywords

Gallbladder torsion; Gangrene; Cholelithiasis; Cholecystectomy

Hrčak ID:

178137

URI

https://hrcak.srce.hr/178137

Publication date:

15.12.2016.

Article data in other languages: croatian

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