Surgical management of gallbladder volvulus.
Adil S Lakha, Michael Silva, Kim Gorissen et al.
✦ AI-curated · Sources linked
Case in brief
An elderly female in her 80s presented with abdominal pain and vomiting after experiencing intermittent colicky pain for three days. Examination revealed tenderness over a palpable gallbladder. Imaging suggested acute acalculous cholecystitis, but further review indicated gallbladder volvulus. Laparoscopy confirmed the diagnosis, revealing a necrotic gallbladder, which was detorted and subsequently removed via laparoscopic cholecystectomy.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for gallbladder volvulus in elderly patients presenting with colicky abdominal pain and imaging suggestive of torsion, even in the absence of gallstones.