Presentation of gallbladder torsion at an abnormal position: A case report.
Computed tomography
Gallbladder torsion
Laparoscopic cholecystectomy
Magnetic resonance cholangiopancreatography
Ultrasonography
Journal
World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806
Informations de publication
Date de publication:
26 Jun 2020
26 Jun 2020
Historique:
received:
22
02
2020
revised:
09
05
2020
accepted:
27
05
2020
entrez:
2
7
2020
pubmed:
2
7
2020
medline:
2
7
2020
Statut:
ppublish
Résumé
Gallbladder torsion is a rare acute abdominal condition that requires emergency surgery. It occurs more commonly in elderly people and in women in the adult population. Diagnosis is a challenge as non-specific symptoms and signs have been reported on ultrasonography, computed tomography and magnetic resonance imaging. Prompt cholecystectomy can decrease the mortality and morbidity of perforation due to gallbladder torsion. An 82-year-old woman with upper-right quadrant pain and associated nausea and vomiting was diagnosed with ectopic acute calculus cholecystitis. Magnetic resonance cholangiopancreatography (MRCP) showed a V-shaped distortion of the extrahepatic bile ducts and a particularly extended twisted cystic duct, which indicated the presence of gallbladder torsion. Emergency laparoscopic cholecystectomy confirmed the diagnosis and the patient recovered without incident. Gallbladder torsion can be diagnosed pre-operatively by MRCP. The specific signs are a V-shaped distortion of the extrahepatic bile ducts and a particularly extended twisted cystic duct which can be called twisting signs.
Sections du résumé
BACKGROUND
BACKGROUND
Gallbladder torsion is a rare acute abdominal condition that requires emergency surgery. It occurs more commonly in elderly people and in women in the adult population. Diagnosis is a challenge as non-specific symptoms and signs have been reported on ultrasonography, computed tomography and magnetic resonance imaging. Prompt cholecystectomy can decrease the mortality and morbidity of perforation due to gallbladder torsion.
CASE SUMMARY
METHODS
An 82-year-old woman with upper-right quadrant pain and associated nausea and vomiting was diagnosed with ectopic acute calculus cholecystitis. Magnetic resonance cholangiopancreatography (MRCP) showed a V-shaped distortion of the extrahepatic bile ducts and a particularly extended twisted cystic duct, which indicated the presence of gallbladder torsion. Emergency laparoscopic cholecystectomy confirmed the diagnosis and the patient recovered without incident.
CONCLUSION
CONCLUSIONS
Gallbladder torsion can be diagnosed pre-operatively by MRCP. The specific signs are a V-shaped distortion of the extrahepatic bile ducts and a particularly extended twisted cystic duct which can be called twisting signs.
Identifiants
pubmed: 32607348
doi: 10.12998/wjcc.v8.i12.2667
pmc: PMC7322416
doi:
Types de publication
Case Reports
Langues
eng
Pagination
2667-2673Informations de copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Références
Abdom Imaging. 2000 May-Jun;25(3):269-71
pubmed: 10823449
J Surg Case Rep. 2018 Nov 19;2018(11):rjy303
pubmed: 30473760
J Med Case Rep. 2011 Dec 20;5:588
pubmed: 22185300
Am J Surg. 2009 Jan;197(1):e9-10
pubmed: 18723147
SAGE Open Med Case Rep. 2019 Jan 11;7:2050313X18823385
pubmed: 30719303
World J Gastroenterol. 2014 Oct 14;20(38):14068-72
pubmed: 25320548
Am Surg. 2019 May 1;85(5):471-473
pubmed: 31126358
Asian J Endosc Surg. 2018 May;11(2):165-168
pubmed: 29052346
HPB (Oxford). 2012 Oct;14(10):669-72
pubmed: 22954002
Perm J. 2013 Spring;17(2):80-3
pubmed: 23704849
Ann Surg. 1898 Feb;27(2):199-202
pubmed: 17860545
Am J Case Rep. 2019 Oct 05;20:1466-1470
pubmed: 31586038
Case Rep Surg. 2016;2016:5626531
pubmed: 27747125
World J Emerg Surg. 2008 Feb 22;3:9
pubmed: 18294374
BMJ Case Rep. 2013 Mar 14;2013:
pubmed: 23505084
Am J Case Rep. 2019 Dec 16;20:1879-1882
pubmed: 31839673
J Gastrointest Surg. 2019 May;23(5):1077-1079
pubmed: 30187329
Cir Cir. 2019;87(S1):58-61
pubmed: 31501630
J Gastroenterol Hepatol. 2019 Jul;34(7):1133
pubmed: 30873662