Pregnant with Acute Abdomen, an Unexpected Turn: Gallbladder Volvulus Case Report
Main Article Content
Abstract
Gallbladder volvulus, is a rare condition that occurs when the gallbladder twists on its elongated mesentery along the axis of the cystic duct and artery, it occurs in 1 in every 365,000 cases, the mortality of this condition is of 6%. Its clinical presentation is insidious and patients usually go to the emergency department with an acute abdomen. We present the clinical case of a pregnant patient who came with data of acute abdomen, protocolized and operated on by our service with an unexpected outcome: volvulated gallbladder.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Yeh H., Weiss M., Gerson C. Torsion of the gallbladder: the ultrasonographic features. J Clin Ultrasound. 1989;17(2):123–125.
II. Wendel A.V.V.I. A case of floating gall-bladder and kidney complicated by cholelithiasis, with perforation of the gall-bladder. Ann Surg. 1898;27(2):199–202.
III. Aljoe J. Gallbladder volvulus-acute cholecystitis 'with a twist'. J Surg Case Rep. 2018 Nov;2018(11):rjy303.
IV. Moser L., Joliat G.R., Tabrizian P., Di Mare L., Petermann D., Halkic N., et al. Gallbladder volvulus. Hepatobiliary Surg Nutr. 2021;10(2):249.
V. Reilly D.J., Kalogeropoulos G., Thiruchelvam D. Torsion of the gallbladder: a systematic review. HPB. 2012;14(10):669–672.
VI. Aharoni D., Hadas-Halpern I., Fisher D., Hiller N. Torsion of the fundus of gallbladder demonstrated on ultrasound and treated with ERCP. Abdom Imaging. 2000;25(3):269–271.
VII. Nakao A., Matsuda T., Funabiki S., Mori T., Koguchi K., Iwado T., et al. Gallbladder torsion: case report and review of 245 cases reported in the Japanese literature. J Hepatobiliary Pancreat Surg. 1999;6(4):418–421. doi:
VIII. Gross R.E. Congenital anomalies of the gallbladder: a review of one. hundred and forty-eight cases, with report of a double gallbladder. Arch Surg. 1936;32(1):131–162.
IX. Abadía-Barnó P, Coll-Sastre M, Picón-Serrano C, Sanjuanbenito-Dehesa A, Cabañas-Montero J. Gallbladder volvulus: Diagnostic and surgical challenges. Cir Cir. 2017 Dec;85 Suppl 1:89-92.
X. Lim LX, Mahin HH, Burnett D. Gallbladder volvulus: An unexpected "twist". Radiol Case Rep. 2022 Mar 25;17(5):1755-1759.
XI. Abdelrahman ZA, Omar RM, Mirza S, Türkmen S. Gallbladder volvulus. Clin Case Rep. 2022;10:e05549.
XII. Garcia villa PC, Alvarez JF, Uzqueda GV. Diagnosis and laparoscopic approach to gallbladder torsion and cholelithiasis. JSLS. 2010;14:147–151.
XIII. Lau W.Y., Fan S.T., Wong S.H. Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis. ANZ J Surg. 1982;52(5):492–494.
XIV. Moser L, Joliat GR, Tabrizian P, et al. Gallbladder volvulus. Hepatobiliary Surg Nutr. 2021;10:249–253.
XV. Quinn S.F., Fazzio F., Jones E. Torsion of the gallbladder: findings on CT and sonogram and role of percutaneous cholecystostomy. AJR Am J Roentgenol. 1987;148(5):881–882.
XVI. Malherbe V, Dandrifosse AC, Detrembleur N, Denoel. Torsion of the gallbladder: two case reports. A. Acta Chir Belg. 2008;108:130–132.
XVII. Cameron E.W., Beale T.J., Pearson R.H. Case report: torsion of the gall-bladder on ultrasound–differentiation from acalculous cholecystitis. Clin Radiol. 1993;47(4):285–286.
XVIII. Kitagawa H., Nakada K., Enami T., Yamaguchi T., Kawaguchi F., Nakada M., et al. Two cases of torsion of the gallbladder diagnosed preoperatively. J Pediatr Surg. 1997;32(11):1567–1569.
XIX. Matsuhashi N, Satake S, Yawata K, et al. Volvulus of the gall bladder diagnosed by ultrasonography, computed tomography, coronal magnetic resonance imaging and magnetic resonance cholangio-pancreatography. World J Gastroenterol. 2006;12:4599–4601.
XX. Usui M, Matsuda S, Suzuki H, Ogura Y.Preoperative diagnosis of gallbladder torsion by magnetic resonance cholangiopancreatography. Scand J Gastroenterol. 2000;35:218–222.
XXI. Ezaki S., Tomimaru Y., Noguchi K., Noura S., Imamura H., Dono K. Surgical results of laparoscopic cholecystectomy for gallbladder torsion. Am Surg. 2019;85(5):471–473.
XXII. Hirohata R., Abe T., Amano H., Kobayashi T., Nakahara M., Ohdan H., et al. Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report. Surg Case Rep. 2019;5(1):54.