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Torsion of gall bladder, a rare entity: a case report and review article

INTRODUCTION: Gallbladder torsion is a rare entity, which is often difficult to diagnose preoperatively. Since its first description in 1898 by Wendel, there have been over 500 documented cases in the literature. It is defined as rotation of the gallbladder on its mesentery along the axis of the cys...

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Autores principales: Gupta, Vanita, Singh, Vikrant, Sewkani, Ajit, Purohit, Dipak, Varshney, Rajneesh, Varshney, Subodh
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803862/
https://www.ncbi.nlm.nih.gov/pubmed/20062762
http://dx.doi.org/10.1186/1757-1626-2-193
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author Gupta, Vanita
Singh, Vikrant
Sewkani, Ajit
Purohit, Dipak
Varshney, Rajneesh
Varshney, Subodh
author_facet Gupta, Vanita
Singh, Vikrant
Sewkani, Ajit
Purohit, Dipak
Varshney, Rajneesh
Varshney, Subodh
author_sort Gupta, Vanita
collection PubMed
description INTRODUCTION: Gallbladder torsion is a rare entity, which is often difficult to diagnose preoperatively. Since its first description in 1898 by Wendel, there have been over 500 documented cases in the literature. It is defined as rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Gallbladder torsion is more frequently encountered in the elderly with peak incidence in the 65-75 year old group, and a 3:1 female predominance. Gallbladder torsion typically presents as an acute abdomen requiring emergency surgery, and most cases are found as a surprise at surgery since preoperative diagnosis of gallbladder torsion is difficult. We report a case of acute gallbladder torsion in an elderly male and review the clinical aspect of gallbladder torsion. CASE REPORT: A 54-year old male presented to our department with a 5-day history of sudden onset colicky abdominal pain associated with vomiting, progressive abdominal distension and fever. Laparotomy through a chevron incision was performed and findings at operation included a gallbladder, which was necrotic and gangrenous, not attached to the liver by any mesentery. It was hanging by the attachments of cystic duct and cystic artery only, with a 360-degree clockwise torsion. CONCLUSION: Gallbladder torsion is rare surgical emergency which requires a high index of suspicion for early preoperative diagnosis and prompt intervention. Treatment consists of cholecystectomy with a prior detorsion to avoid injury to the common duct.
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spelling pubmed-28038622010-01-10 Torsion of gall bladder, a rare entity: a case report and review article Gupta, Vanita Singh, Vikrant Sewkani, Ajit Purohit, Dipak Varshney, Rajneesh Varshney, Subodh Cases J Case Report INTRODUCTION: Gallbladder torsion is a rare entity, which is often difficult to diagnose preoperatively. Since its first description in 1898 by Wendel, there have been over 500 documented cases in the literature. It is defined as rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Gallbladder torsion is more frequently encountered in the elderly with peak incidence in the 65-75 year old group, and a 3:1 female predominance. Gallbladder torsion typically presents as an acute abdomen requiring emergency surgery, and most cases are found as a surprise at surgery since preoperative diagnosis of gallbladder torsion is difficult. We report a case of acute gallbladder torsion in an elderly male and review the clinical aspect of gallbladder torsion. CASE REPORT: A 54-year old male presented to our department with a 5-day history of sudden onset colicky abdominal pain associated with vomiting, progressive abdominal distension and fever. Laparotomy through a chevron incision was performed and findings at operation included a gallbladder, which was necrotic and gangrenous, not attached to the liver by any mesentery. It was hanging by the attachments of cystic duct and cystic artery only, with a 360-degree clockwise torsion. CONCLUSION: Gallbladder torsion is rare surgical emergency which requires a high index of suspicion for early preoperative diagnosis and prompt intervention. Treatment consists of cholecystectomy with a prior detorsion to avoid injury to the common duct. BioMed Central 2009-11-12 /pmc/articles/PMC2803862/ /pubmed/20062762 http://dx.doi.org/10.1186/1757-1626-2-193 Text en Copyright ©2009 Gupta et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gupta, Vanita
Singh, Vikrant
Sewkani, Ajit
Purohit, Dipak
Varshney, Rajneesh
Varshney, Subodh
Torsion of gall bladder, a rare entity: a case report and review article
title Torsion of gall bladder, a rare entity: a case report and review article
title_full Torsion of gall bladder, a rare entity: a case report and review article
title_fullStr Torsion of gall bladder, a rare entity: a case report and review article
title_full_unstemmed Torsion of gall bladder, a rare entity: a case report and review article
title_short Torsion of gall bladder, a rare entity: a case report and review article
title_sort torsion of gall bladder, a rare entity: a case report and review article
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803862/
https://www.ncbi.nlm.nih.gov/pubmed/20062762
http://dx.doi.org/10.1186/1757-1626-2-193
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