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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...

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Autores principales: Nho, Woo Young, Kim, Jae Oh, Nam, Soon Young, Kee, Se Kook
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
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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.
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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
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