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Gallbladder volvulus with gangrene. Case report and review of the literature.

Christoudias GC - JSLS (1997 Apr-Jun)

Bottom Line: Over 300 cases have appeared in the literature since first reported by Wendel in 1898, ranging in age from 2 to 100 years old.Unusual mobility of the gallbladder due to congenital anomalies is a constant factor in all occurrences.The patient had an uneventful recovery and was discharged within 72 hours after surgery, indicating that with the proper technique laparoscopic cholecystectomy is both feasible and safe in gallbladder volvulus.

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ABSTRACT

Background: Volvulus of the gallbladder is an unusual event. Over 300 cases have appeared in the literature since first reported by Wendel in 1898, ranging in age from 2 to 100 years old. Unusual mobility of the gallbladder due to congenital anomalies is a constant factor in all occurrences.

Case report: This is a report of a laparoscopic cholecystectomy in an 82-year-old white female with volvulus of the gallbladder presenting with a chief complaint of chest pain.

Conclusion: The patient had an uneventful recovery and was discharged within 72 hours after surgery, indicating that with the proper technique laparoscopic cholecystectomy is both feasible and safe in gallbladder volvulus.

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Related in: MedlinePlus

Ultrasound of Gallbladder. Notice the marked thickness of the gallbladder wall. The twisted pedicle of the gallbladder appears as “septations of the wall” posteriorly.
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Figure 1: Ultrasound of Gallbladder. Notice the marked thickness of the gallbladder wall. The twisted pedicle of the gallbladder appears as “septations of the wall” posteriorly.

Mentions: By the second day of admission, the WBC increased to 13,000. The cardiac isoenzymes were normal. Physical examination showed tenderness in the right upper quadrant area. An ultrasound of the gallbladder done on the third day of admission showed a thickened gallbladder wall of up to 11 mm, “posteriorly…multiple septations of the gallbladder wall” (Figure 1), and multiple stones. That day the WBC climbed to 18,100.


Gallbladder volvulus with gangrene. Case report and review of the literature.

Christoudias GC - JSLS (1997 Apr-Jun)

Ultrasound of Gallbladder. Notice the marked thickness of the gallbladder wall. The twisted pedicle of the gallbladder appears as “septations of the wall” posteriorly.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021271&req=5

Figure 1: Ultrasound of Gallbladder. Notice the marked thickness of the gallbladder wall. The twisted pedicle of the gallbladder appears as “septations of the wall” posteriorly.
Mentions: By the second day of admission, the WBC increased to 13,000. The cardiac isoenzymes were normal. Physical examination showed tenderness in the right upper quadrant area. An ultrasound of the gallbladder done on the third day of admission showed a thickened gallbladder wall of up to 11 mm, “posteriorly…multiple septations of the gallbladder wall” (Figure 1), and multiple stones. That day the WBC climbed to 18,100.

Bottom Line: Over 300 cases have appeared in the literature since first reported by Wendel in 1898, ranging in age from 2 to 100 years old.Unusual mobility of the gallbladder due to congenital anomalies is a constant factor in all occurrences.The patient had an uneventful recovery and was discharged within 72 hours after surgery, indicating that with the proper technique laparoscopic cholecystectomy is both feasible and safe in gallbladder volvulus.

View Article: PubMed Central - PubMed

ABSTRACT

Background: Volvulus of the gallbladder is an unusual event. Over 300 cases have appeared in the literature since first reported by Wendel in 1898, ranging in age from 2 to 100 years old. Unusual mobility of the gallbladder due to congenital anomalies is a constant factor in all occurrences.

Case report: This is a report of a laparoscopic cholecystectomy in an 82-year-old white female with volvulus of the gallbladder presenting with a chief complaint of chest pain.

Conclusion: The patient had an uneventful recovery and was discharged within 72 hours after surgery, indicating that with the proper technique laparoscopic cholecystectomy is both feasible and safe in gallbladder volvulus.

Show MeSH
Related in: MedlinePlus