Cargando…
Torsion of suprahepatic gall bladder
Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultra...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270044/ https://www.ncbi.nlm.nih.gov/pubmed/34045393 http://dx.doi.org/10.4103/jmas.JMAS_171_20 |
_version_ | 1783720716882935808 |
---|---|
author | Nho, Woo Young Kim, Jae Oh Nam, Soon Young Kee, Se Kook |
author_facet | Nho, Woo Young Kim, Jae Oh Nam, Soon Young Kee, Se Kook |
author_sort | Nho, Woo Young |
collection | PubMed |
description | Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cystic duct and artery pedicle in a clockwise manner. Detorsion was done and the gall bladder was resected. Unfortunately, the pre-operative diagnosis of gall bladder torsion was missed, and a definite diagnosis was made at the time of surgery. The patient was discharged on the 4(th) post-operative day. |
format | Online Article Text |
id | pubmed-8270044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-82700442021-07-27 Torsion of suprahepatic gall bladder Nho, Woo Young Kim, Jae Oh Nam, Soon Young Kee, Se Kook J Minim Access Surg Unusual Case Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cystic duct and artery pedicle in a clockwise manner. Detorsion was done and the gall bladder was resected. Unfortunately, the pre-operative diagnosis of gall bladder torsion was missed, and a definite diagnosis was made at the time of surgery. The patient was discharged on the 4(th) post-operative day. Wolters Kluwer - Medknow 2021 2021-04-24 /pmc/articles/PMC8270044/ /pubmed/34045393 http://dx.doi.org/10.4103/jmas.JMAS_171_20 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Unusual Case Nho, Woo Young Kim, Jae Oh Nam, Soon Young Kee, Se Kook Torsion of suprahepatic gall bladder |
title | Torsion of suprahepatic gall bladder |
title_full | Torsion of suprahepatic gall bladder |
title_fullStr | Torsion of suprahepatic gall bladder |
title_full_unstemmed | Torsion of suprahepatic gall bladder |
title_short | Torsion of suprahepatic gall bladder |
title_sort | torsion of suprahepatic gall bladder |
topic | Unusual Case |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8270044/ https://www.ncbi.nlm.nih.gov/pubmed/34045393 http://dx.doi.org/10.4103/jmas.JMAS_171_20 |
work_keys_str_mv | AT nhowooyoung torsionofsuprahepaticgallbladder AT kimjaeoh torsionofsuprahepaticgallbladder AT namsoonyoung torsionofsuprahepaticgallbladder AT keesekook torsionofsuprahepaticgallbladder |