Abstract
Complete gallbladder torsion is an unusual emergency that requires immediate surgical treatment. Since it was first reported in 1898, <400 cases have been described in the literature, and only three of them were diagnosed and treated by laparoscopic cholecystectomy. Our objective here is to describe an approach that allows a definitive diagnosis and treatment. First we present the case of a febrile 81-year-old woman with acute right upper quadrant pain. Ultrasound showed an alithiasic distended gallbladder with a multilayered wall and a transverse orientation. When exploratory laparoscopy was performed, a gangrenous gallbladder secondary to a 360° clockwise cystic pedicle torsion was found. Laparoscopic decompression, detorsion, and cholecystectomy with an intraoperative cholangiogram were completed. The patient was discharged 72 h later. Next, several preoperative diagnostic methods are reviewed. We conclude that the laparoscopic treatment of this entity is feasible and obviates the performance of unnecessary and nonspecific tests. It offers a favorable and rapid postoperative recovery, in addition to the other well-known advantages of the minimally invasive surgical approach.
References
D Aharoni I Hadas-Halpern D Fisher N Hiller (2000) ArticleTitleTorsion of the fundus of gallbladder demonstrated on ultrasound and treated with ERCP. Abdom Imaging 25 269–271 Occurrence Handle10.1007/s002610000031 Occurrence Handle1:STN:280:DC%2BD3czptFygsQ%3D%3D Occurrence Handle10823449
R Bothra (1973) ArticleTitleTorsion of the gallbladder in the aged. Br J Surg 5 359–360
G Christoudias (1997) ArticleTitleGallbladder torsion with gangrene: case report and review of the literature. J Soc Laparosc Surg 2 167–170
R Gross (1956) ArticleTitleCongenital anomalies of the gallbladder. Arch Surg 32 131–162
H Kitagawa K Nakada T Enami T Yamaguchi F Kawaguchi M Nakada N Yamate (1997) ArticleTitleTwo cases of torsion of the gallbladder diagnosed preoperatively. J Pediatr Surg 11 1567–1569
M Krabbel (1920) ArticleTitleDie Steil Torsion de Gallengblasse. Dtsch Z Chir 154 76
A Losken B Wilson R Sherman (1997) ArticleTitleTorsion of the gallbladder: a case report and review of the literature. Ame Surg 11 976–978
A Nakao T Matsuda S Funkabi T Mori K Koguchi T Iwado K Matsuda N Takakura H Isozaki N Tanaka (1999) ArticleTitleGallbladder torsion: case report and review of 245 cases reported in the Japaneses literature. J Hepatobil Pancreat Surg 6 418–421 Occurrence Handle10.1007/s005340050143 Occurrence Handle1:STN:280:DC%2BD3c7jtFSnsQ%3D%3D
T Nguyen A Geraci J Bauer (1995) ArticleTitleLaparoscopic cholecystectomy for gallbladder volvulus. Surg Endosc 5 519–521
D Schroder D Cusumano (1995) ArticleTitleLaparoscopic cholecystectomy for gallbladder torsion. Surg Laparosc Endosc 4 330–334
J Vosswinkel A Colantonio (1999) ArticleTitleTorsion of the gallbladder: laparoscopic identification and treatment. Surg Endosc 11 1154–1156 Occurrence Handle10.1007/s004649901194
A Wendel (1898) ArticleTitleA case of floating gallbladder and kidney complicated by cholelithiasis with perforation of the gallbladder. Ann Surg 27 199–202
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Amarillo, H., Pirchi, E. & Mihura, M. Complete gallbladder and cystic pedicle torsion Laparoscopic diagnosis and treatment . Surg Endosc 17, 832–833 (2003). https://doi.org/10.1007/s00464-002-4528-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-002-4528-3