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Acute cholecystitis due to a gall bladder torsion

INTRODUCTION: Gallbladder torsion is an unusual cause of an acute abdomen that can be mortal. It is presenting in variable ways, but the most common is symptomatology similar to acute cholecystitis. Clinical manifestations and imaging features can facilitate diagnosis, and treatment is detorsion wit...

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Detalles Bibliográficos
Autores principales: Dhafer, Hadded, Meryam, Mesbahi, Mouna, Cherif, Benzarti, Yazid, Yassine, Jomli, Chiraz, Chamekhi, Anis, Ben Maamer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363817/
https://www.ncbi.nlm.nih.gov/pubmed/34388590
http://dx.doi.org/10.1016/j.ijscr.2021.106272
Descripción
Sumario:INTRODUCTION: Gallbladder torsion is an unusual cause of an acute abdomen that can be mortal. It is presenting in variable ways, but the most common is symptomatology similar to acute cholecystitis. Clinical manifestations and imaging features can facilitate diagnosis, and treatment is detorsion with cholecystectomy. CASE PRESENTATION: A 26-year-old male presented to the emergency department with intense abdominal pain, vomiting. The patient did not respond to symptomatic treatment and continued to present pain, nausea, and vomiting. The Ct scan showed signs of acute cholecystitis. The patient underwent laparoscopic cholecystectomy and found that the gallbladder was gangrene, enlarged due to torsion. Detorsion and cholecystectomy were carried out without complications.