GALLBLADDER TORSION: A RARE CASE REPORT AND LITERATURE REVIEW

Trần Mạnh Hùng1,, Trần Quế Sơn2, Trần Hiếu Học2,3
1 Bach Mai Hospital
2 Hanoi Medical University
3 K Hospital

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Abstract

Introduction: Gallbladder torsion is a rare cause of acute abdominal pain that is more prevalent in older women and can be fatal. Due to the lack of specific clinical manifestations and imaging features, making an accurate preoperative diagnosis isn't easy. Cholecystectomy is the only standard treatment for this pathology. Case presentation: This is the second report in the Vietnamese literature on gallbladder torsion. We report a case of gallbladder torsion that occurred during laparoscopic cholecystectomy on an 80-year-old woman who presented to the Emergency Department with acute cholecystitis. The computed tomography and ultrasound showed signs of acute cholecystitis. The patient underwent laparoscopic cholecystectomy and found that the gallbladder was gangrene, enlarged due to torsion. The patient was discharged without any postoperative complications on day 4. Conclusion: Torsion of the gallbladder is a complex condition to diagnose accurately. An emergency cholecystectomy is indicated to avoid biliary peritonitis-related morbidity and mortality when gallbladder torsion is suspected.

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References

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